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

Theodore Sonneborn

Individual provider Clinical Social Worker · NPI 1568063808

Theodore Sonneborn is a Clinical Social Worker in Philadelphia, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1700 Sansom St Fl 11
Philadelphia, PA 19103-5245
Phone: (215) 563-7863
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4455 Ne Highway 20, Corvallis, OR 97330-9695 — (541) 758-5900

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW142450 (PA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1568063808
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 3, 2020
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

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