Active NPI
Sonyia Copeland Richardson, LCSW
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1306874870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C004966
- Practice address
- 3210 Prosperity Church Rd Ste 101
Charlotte, NC 28269-8194 - Phone
- (704) 548-5298
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C004966 | NC | Primary |
Addresses
Primary practice location
3210 Prosperity Church Rd Ste 101
Charlotte, NC 28269-8194
Mailing address
3210 Prosperity Church Rd Ste 101
Charlotte, NC 28269-8194
Phone (704) 941-7751
Other practice location 1
1935 J N Pease Pl
Ste 104
Charlotte, NC 28262-4554
Phone (704) 548-5298
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1306874870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3210 PROSPERITY CHURCH RD STE 101",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282698194",
"telephone_number": "704-941-7751",
"fax_number": "704-548-9529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3210 PROSPERITY CHURCH RD STE 101",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282698194",
"telephone_number": "704-548-5298"
}
],
"practiceLocations": [
{
"address_1": "1935 J N Pease Pl",
"address_2": "Ste 104",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282624554",
"country_code": "US",
"telephone_number": "704-548-5298",
"fax_number": "704-548-9529",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARDSON",
"first_name": "SONYIA",
"middle_name": "COPELAND",
"name_prefix": "Dr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C004966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.