Individual provider · Type 1 NPI

Theodore Sonneborn

Clinical Social Worker · Philadelphia, PA

NPI number 1568063808 Active

Practice location

1700 Sansom St Fl 11
Philadelphia, PA 19103-5245

Call (215) 563-7863 Map

Other practice locations

  • 4455 NE Highway 20, Corvallis, OR 97330-9695 · (541) 758-5900

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW142450 (PA)
Counselor 101Y00000XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1568063808

Theodore Sonneborn's National Provider Identifier is 1568063808, issued on Nov 3, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 12, 2025.