Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Sondra Lynn Wise, LSW

Individual provider Clinical Social Worker · NPI 1417047168

MS. Sondra Lynn Wise, LSW is a Clinical Social Worker in Springfield, Illinois. Qualified in 2006, 20 years ago. Practices with Mental Health Centers of Central Illinois, an 18-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
20
Licensed in
IL
In the registry since
2006
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

710 N 8th St
Springfield, IL 62702-6324
Phone: (217) 525-1064
Fax: (217) 525-1651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149013262 (IL)

Record details

NPI number1417047168
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorNo
NPI enumeratedOctober 13, 2006
Last updated in NPPESOctober 9, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Mental Health Centers Of Central Illinois — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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