SONIA MARINA DURAN LCSW
NPI 1568188324
Social Worker - Clinical in Santa Cruz, CA

Active since October 13, 2022PECOS EnrolledAccepts Medicare Assignment
250 LOCUST ST, SANTA CRUZ, CA 95060(831) 427-3500 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sonia Marina Duran Lcsw NPPES

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

SONIA MARINA DURAN LCSW (NPI 1568188324) is an individual clinical provider in Santa Cruz, California, licensed in California (110894) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1568188324
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSONIA MARINA DURANCredential: LCSW
Location Address250 LOCUST STSanta Cruz, CA 95060-3813
Mailing Address125 Water St Ste BSanta Cruz, CA 95060-2792
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 13, 2022
NPPES CertifiedOctober 13, 2022
NPI 1568188324 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 · 110894
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.
250 LOCUST ST, Santa Cruz, CA 95060

Accepted 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

Sonia Marina Duran 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 ID8628426327
PECOS Enrollment IDI20260116003487
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

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

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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95060 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 $62.97 – $186.69
Typical copayment $0.00 (range $15.74 – $46.67)
Most-billed visit code NA
Established Patient
$77.84 typical visit price
range $21.02 – $153.16
Typical copayment $19.46 (range $5.25 – $38.29)
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.

Family Medicine
250 LOCUST ST
SANTA CRUZ, CA 95060
Family Medicine
250 LOCUST ST
SANTA CRUZ, CA 95060
Nurse Practitioner (Family)
250 LOCUST ST
SANTA CRUZ, CA 95060
Social Worker (Clinical)
250 LOCUST ST
SANTA CRUZ, CA 95060
Social Worker (Clinical)
250 LOCUST ST
SANTA CRUZ, CA 95060
Social Worker (Clinical)
250 LOCUST ST
SANTA CRUZ, CA 95060
Physician Assistant (Medical)
250 LOCUST ST
SANTA CRUZ, CA 95060
Marriage & Family Therapist
250 LOCUST ST
SANTA CRUZ, CA 95060

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 Sonia Duran's NPI number?

The NPI number for Sonia Duran is 1568188324. It was assigned to this individual provider in the NPPES registry on October 13, 2022.

Where is Sonia Duran located?

Sonia Duran practices at 250 Locust St, Santa Cruz, CA 95060. The listed phone number is (831) 427-3500.

What is Sonia Duran's specialty?

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

Is Sonia Duran enrolled in Medicare?

Yes. Sonia Duran 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 Sonia Duran accept?

Health plans from UnitedHealthcare list Sonia Duran 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 Sonia Duran was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.