MS. SONDRA LYNN WISE LSW
NPI 1417047168
Social Worker - Clinical in Springfield, IL

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
710 N 8TH ST, SPRINGFIELD, IL 62702(217) 525-1064(217) 525-1651 Get Directions Write a Review

NPPES record last updated: October 9, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Sondra Lynn Wise Lsw NPPES

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

MS. SONDRA LYNN WISE LSW (NPI 1417047168) is an individual clinical provider in Springfield, Illinois, licensed in Illinois (149013262) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1417047168
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SONDRA LYNN WISECredential: LSW
Location Address710 N 8TH STSpringfield, IL 62702-6324
Mailing Address710 N 8th StSpringfield, IL 62702-6324 · (217) 525-1064 · Fax (217) 525-1651
Fax(217) 525-1651
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 13, 2006
Last NPPES UpdateOctober 9, 2008
NPI 1417047168 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 IL · 149013262
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.

710 N 8TH ST, Springfield, IL 62702

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Sondra Lynn Wise Lsw 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 ID9335201169
PECOS Enrollment IDI20090102000332
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
281 services31 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
262 services45 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
78 services27 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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 $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
710 N 8TH ST
SPRINGFIELD, IL 62702
Registered Nurse (Psychiatric/Mental Health, Adult)
710 N 8TH ST
SPRINGFIELD, IL 62702
Social Worker (Clinical)
710 N 8TH ST
SPRINGFIELD, IL 62702
Counselor (Mental Health)
710 N 8TH ST
SPRINGFIELD, IL 62702
Social Worker (Clinical)
710 N 8TH ST
SPRINGFIELD, IL 62702
Psychiatry & Neurology (Psychiatry)
710 N 8TH ST
SPRINGFIELD, IL 62702
Registered Nurse (Psychiatric/Mental Health, Adult)
710 N 8TH ST
SPRINGFIELD, IL 62702
Counselor (Mental Health)
710 N 8TH ST
SPRINGFIELD, IL 62702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417047168, enumerated as an "individual" on October 13, 2006.

The provider is located at 710 N 8TH ST SPRINGFIELD, IL 62702 and the phone number is (217) 525-1064.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.