Individual provider Active NPI

Sonja Shavers, LCSW, EDD

  • Clinical Social Worker
  • Warner Robins, GA
National Provider Identifier
1497027510
Registry record updated Feb 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004458 Issued in GA
Practice address
100 Katelyn Cir Ste F
Warner Robins, GA 31088-6483
Phone
(478) 227-4054
NPI assigned
Feb 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2012

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 CSW004458 GA Primary

Addresses

Primary practice location

100 Katelyn Cir Ste F
Warner Robins, GA 31088-6483

Mailing address

PO Box 6583
Warner Robins, GA 31095-6583
Phone (478) 227-4054

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
CSW004458GAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1328400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328400000000",
    "number": "1497027510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6583",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310956583",
            "telephone_number": "478-227-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KATELYN CIR STE F",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886483",
            "telephone_number": "478-227-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVERS",
        "first_name": "SONJA",
        "name_prefix": "Mrs.",
        "credential": "LCSW, EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-05",
        "last_updated": "2012-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2012; 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.