MRS. SONJA ZONEE CARTER LCSW
NPI 1255476362
Social Worker - Clinical in Orange, CA

Active since February 20, 2007PECOS EnrolledAccepts Medicare Assignment
401 CITY DRIVE SOUTH, ORANGE, CA 92868(714) 604-5377 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Sonja Zonee Carter Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SONJA ZONEE CARTER LCSW (NPI 1255476362) is an individual clinical provider in Orange, California, licensed in California (25989) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1255476362
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. SONJA ZONEE CARTERCredential: LCSW
Location Address401 CITY DRIVE SOUTHOrange, CA 92868
Mailing Address136 S Virgil Ave Apt 106Los Angeles, CA 90004-6039 · (562) 343-4062
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateFebruary 20, 2007
Last NPPES UpdateOctober 27, 2021
NPPES CertifiedOctober 27, 2021
✔ NPI 1255476362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 25989
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
401 CITY DRIVE SOUTH, Orange, CA 92868

Other Identifiers 1

Other25989CA · Lcsw

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Sonja Zonee Carter Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981976255
PECOS Enrollment IDI20170821003477
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Sonja Carter reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cognitive & Behavioral
1526 BROOKHOLLOW DR STE 73
Santa Ana, CA 92705
  • Reassigned Medicare billing, California enrollment
  • 87 clinicians in this Medicare group
Health Maintenance Organization
441 N LAKEVIEW AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
Clinical
10204 BODE ST STE B
Plainfield, IL 60585
  • Reassigned Medicare billing, California enrollment
  • 117 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sonja Carter's NPI number?

The NPI number for Sonja Carter is 1255476362. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Sonja Carter located?

Sonja Carter practices at 401 City Drive South, Orange, CA 92868. The listed phone number is (714) 604-5377.

What is Sonja Carter's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sonja Carter enrolled in Medicare?

Yes. Sonja Carter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sonja Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonja Carter reassigns Medicare benefits to 4 organizations: Cognitive Care Solutions Group Inc (Santa Ana, CA), Southern California Permanente Medical Group (Anaheim, CA), Sud Specialty Group - Ca (Santa Clara, CA) and Blue Moon Senior Counseling Of California LLC (Plainfield, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sonja Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sonja Carter was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.