Individual provider Active NPI

Sonyia Copeland Richardson, LCSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1306874870
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004966 Issued in NC
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

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.