Sondra Shantel Graham, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004919 Issued in GA

Practice address

1000 Commissioner Dr
Darien, GA 31305-9487

Phone

(912) 437-9300

Fax

(912) 437-9481

NPI assigned

Jun 15, 2006

Last updated

May 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Sondra Shantel Hicks Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Divine Wellness Partners LLCGroup PAC ID 0648763656, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Divine Wellness Partners, LLC

  • Family Nurse Practitioner
  • Palm Bay, FL
  • NPI 1881572238

  Clinical

  Care Compare group NPD

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1376587774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 TEBEAU STREET",
            "address_2": "MAYO CLINIC HEALTH SYSTEM IN WAYCROSS",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "31501",
            "telephone_number": "912-338-6338",
            "fax_number": "912-338-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COMMISSIONER DR",
            "city": "DARIEN",
            "state": "GA",
            "postal_code": "313059487",
            "telephone_number": "912-437-9300",
            "fax_number": "912-437-9481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4680 Lipscomb St NE Ste 10B",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329052928",
            "country_code": "US",
            "telephone_number": "321-364-3758",
            "fax_number": "833-635-8722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "SONDRA",
        "middle_name": "SHANTEL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004919",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "MSW003847",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONDRA",
            "last_name": "HICKS",
            "middle_name": "SHANTEL",
            "prefix": "MRS.",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gateway Behavioral Health Services
• Gateway Community Service Board
• Georgette a. Pronesti
• Donna T. Ginn, D MIN
• Golden Isles Coastal Medicine, LLC
• Robert A Green, LPC
• Mark Allen Haddock, D.C.
• Saajidah Harris
• Zhane Asare Jackson
• Jehovah-Jireh

• Clinical Social Worker in Darien, GA
• Providers in Darien, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.