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SONYA BROPHY LCSW
NPI 1558905489
Social Worker - Clinical in Durango, CO

Active since November 04, 2019PECOS EnrolledAccepts Medicare Assignment
835 E 2ND AVE STE 271, DURANGO, CO 81301(970) 426-0636(970) 844-1722 Get Directions Write a Review

NPPES record last updated: April 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 5, 2025, Sep 16, 2024, Nov 22, 2019 and 1 more (4 updates tracked since 2019).

About Sonya Brophy Lcsw NPPES

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

SONYA BROPHY LCSW (NPI 1558905489) is an individual clinical provider in Durango, Colorado, licensed in Colorado (09925914) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1558905489
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSONYA BROPHYCredential: LCSW
Location Address835 E 2ND AVE STE 271Durango, CO 81301-5488
Mailing Address835 E 2nd Ave Ste 271Durango, CO 81301-5488 · (970) 426-0636 · Fax (970) 844-1722
Phone(970) 426-0636
Fax(970) 844-1722
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 4, 2019
Last NPPES UpdateApril 5, 20254 updates tracked since enumeration
NPPES CertifiedApril 5, 2025
✔ NPI 1558905489 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 CO · 09925914
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.
835 E 2ND AVE STE 271, Durango, CO 81301
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Accepted Insurance

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

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

Sonya Brophy 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 ID3476986290
PECOS Enrollment IDI20191210001361
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81301 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 $58.06 – $174.82
Typical copayment $0.00 (range $14.51 – $43.70)
Most-billed visit code NA
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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

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

LAVENDER MENTAL HEALTH LLC
Community/Behavioral Health
835 E 2ND AVE STE 271
DURANGO, CO 81301
La Plata County (970) 426-0636

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 Sonya Brophy's NPI number?

The NPI number for Sonya Brophy is 1558905489. It was assigned to this individual provider in the NPPES registry on November 4, 2019.

Where is Sonya Brophy located?

Sonya Brophy practices at 835 E 2nd Ave Ste 271, Durango, CO 81301. The listed phone number is (970) 426-0636.

What is Sonya Brophy's specialty?

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

Is Sonya Brophy enrolled in Medicare?

Yes. Sonya Brophy 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.

What insurance does Sonya Brophy accept?

Health plans from Providence Health Plan list Sonya Brophy 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 Sonya Brophy was last updated on April 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.