Individual provider Active NPI

Veronica Sonner, LCSW

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1104172766
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C011226 Issued in NC
Practice address
1017 Hope Mills Rd
Fayetteville, NC 28304-4234
Phone
(910) 491-6011
NPI assigned
Jul 31, 2012
Last updated
May 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 009290 CT
Clinical Social Worker 1041C0700X C011226 NC Primary

Addresses

Primary practice location

1017 Hope Mills Rd
Fayetteville, NC 28304-4234

Mailing address

2530 Sunnyside School Rd
Fayetteville, NC 28312-6917
Phone (203) 892-1480

Other practice location 1

2530 Sunnyside School Rd
Fayetteville, NC 28312
Phone (203) 892-1480

Other practice location 2

2530 Sunnyside School Rd
Fayetteville, NC 28312
Phone (203) 892-1480

Other names 1

  • Veronica Nieves Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009290CTMDClinical Social Worker
C011226NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Crossbeam Counseling Centers Clinical PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1104172766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 SUNNYSIDE SCHOOL RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283126917",
            "telephone_number": "203-892-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 HOPE MILLS RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044234",
            "telephone_number": "910-491-6011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2530 Sunnyside School Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "28312",
            "country_code": "US",
            "telephone_number": "203-892-1480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2530 Sunnyside School Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "28312",
            "country_code": "US",
            "telephone_number": "203-892-1480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONNER",
        "first_name": "VERONICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009290",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERONICA",
            "last_name": "NIEVES",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.