Sonia Duran, LCSW
NPI 1568188324 · Clinical Social Worker · Santa Cruz, CA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sonia Duran, LCSW is a Clinical Social Worker provider in Santa Cruz, CA (NPI 1568188324).
Provider details
- NPI number
- 1568188324
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 110894 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
3 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
13 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychiatric Diagnostic Evaluation90791 | 13 | $147 |
Typical Medicare-allowed amounts for these services range $147–$147 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-10-13
- Last updated
- 2022-10-13
- Certified
- 2022-10-13
Frequently asked questions
- What is Sonia Duran's NPI number?
- Sonia Duran's National Provider Identifier (NPI) is 1568188324, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sonia Duran's specialty?
- Sonia Duran is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Sonia Duran located?
- Sonia Duran's practice location on file with NPPES is 250 Locust St, Santa Cruz, CA 95060-3813.
- What is Sonia Duran's phone number?
- The practice phone number listed in the NPPES registry for Sonia Duran is (831) 427-3500.
- Does Sonia Duran accept Medicare?
- Sonia Duran is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sonia Duran's NPI active?
- Yes — Sonia Duran's NPI (1568188324) is active in the NPPES registry as of the last update on 2022-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.