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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SONJA STYBLO
NPI 1497349633
Social Worker - Clinical in Belmont, MA

Active since March 01, 2021PECOS Enrolled
5 OXFORD AVE # 2, BELMONT, MA 02478(857) 212-1144 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 30, 2026, Mar 1, 2021 (2 updates tracked since 2021).

About Sonja Styblo NPPES

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

SONJA STYBLO (NPI 1497349633) is an individual clinical provider in Belmont, Massachusetts, licensed in Idaho (8861725) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497349633
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSONJA STYBLO
Location Address5 OXFORD AVE # 2Belmont, MA 02478-3661
Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 452-8000 · Fax (208) 452-8055
Phone(857) 212-1144
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 1, 2021
Last NPPES UpdateSeptember 30, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1497349633 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 ID · 8861725
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.
5 OXFORD AVE # 2, Belmont, MA 02478
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1190 W Main StKuna, ID 83634-2702 · Phone (208) 598-8442
Location 21020 W Main St Ste 100-IBoise, ID 83702-5789 · Phone (208) 598-8442
Location 3910 NW 16th St Ste 101Fruitland, ID 83619-2265 · Phone (208) 452-8000 · Fax (208) 452-8055

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sonja Styblo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426522665
PECOS Enrollment IDI20260630000089
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 Reassignment

Medicare enrollment records show Sonja Styblo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saint Alphonsus Medical Center- Ontario Inc
2,287 mi
Internal Medicine
1050 SW 3RD AVE, STE 3200
Ontario, OR 97914
  • Reassigned Medicare billing, Idaho enrollment
  • 67 clinicians in this Medicare group
NPI 1093034159 (541) 881-7370

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 02478 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 $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 Styblo's NPI number?

The NPI number for Sonja Styblo is 1497349633. It was assigned to this individual provider in the NPPES registry on March 1, 2021.

Where is Sonja Styblo located?

Sonja Styblo practices at 5 Oxford Ave # 2, Belmont, MA 02478. The listed phone number is (857) 212-1144.

What is Sonja Styblo's specialty?

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

Is Sonja Styblo enrolled in Medicare?

Yes. Sonja Styblo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sonja Styblo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonja Styblo reassigns Medicare benefits to Saint Alphonsus Medical Center- Ontario Inc (Ontario, OR). The 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 Styblo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sonja Styblo accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan and Select Health list Sonja Styblo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sonja Styblo was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.