Provider Demographics
NPI:1972121093
Name:CARVER, SONIA (MA)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:
Last Name:CARVER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 KENT AVE STE 2502
Mailing Address - Street 2:
Mailing Address - City:WEST LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47906-1251
Mailing Address - Country:US
Mailing Address - Phone:866-672-4764
Mailing Address - Fax:
Practice Address - Street 1:3000 KENT AVE STE 2502
Practice Address - Street 2:
Practice Address - City:WEST LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47906-1251
Practice Address - Country:US
Practice Address - Phone:866-672-4764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-07
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator