Organization Active NPI

Sonja R. Poitier-Hickman, LCSW, LLC

  • Clinical Social Worker
  • Newport News, VA
National Provider Identifier
1104328558
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090400967 Issued in VA
Legal business name
SONJA R. POITIER-HICKMAN, LCSW, LLC
Practice address
703 Thimble Shoals Blvd Ste a-3
Newport News, VA 23606-4536
Phone
(757) 778-3699
NPI assigned
Mar 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Authorized official

Name
Mrs. Sonja Poitier-Hickman, LCSWNPI 1235227745
Title
Owner
Phone
(757) 778-3699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 090400967 VA Primary

Addresses

Primary practice location

703 Thimble Shoals Blvd Ste a-3
Newport News, VA 23606-4536

Mailing address

703 Thimble Shoals Blvd Ste a-3
Newport News, VA 23606-4536
Phone (757) 778-3699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180305001085 VA Part B Supplier - Clinic/Group Practice 2668733866 Receives reassigned benefits from 1 practitioner
Practice locations: Williamsburg, VA

National Provider Directory

National Provider Directory

Locations

1769 Jamestown Rd
Ste 208
Williamsburg, VA 23185
Phone (757) 778-3699

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1104328558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 THIMBLE SHOALS BLVD STE A-3",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064536",
            "telephone_number": "757-778-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 THIMBLE SHOALS BLVD STE A-3",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064536",
            "telephone_number": "757-778-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONJA R. POITIER-HICKMAN, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "POITIER-HICKMAN",
        "authorized_official_first_name": "SONJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-778-3699",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "090400967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.