Individual provider Active NPI

Sondy Cadeau

  • Clinical Social Worker
  • Cumming, GA
National Provider Identifier
1558729590
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW006477 Issued in GA
Practice address
5971 Parkway North Blvd Ste C
Cumming, GA 30040-8842
Phone
(404) 388-3909
Fax
(678) 712-1945
NPI assigned
Feb 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05669600 NJ
Clinical Social Worker 1041C0700X CSW006477 GA Primary

Addresses

Primary practice location

5971 Parkway North Blvd Ste C
Cumming, GA 30040-8842

Mailing address

1108 Woodiron Dr
Duluth, GA 30097-7494
Phone (908) 456-6317

Other identifiers 1

IdentifierTypeStateIssuer
4144007MedicaidNJ

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
CSW006477GAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1558729590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 WOODIRON DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300977494",
            "telephone_number": "908-456-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5971 PARKWAY NORTH BLVD STE C",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408842",
            "telephone_number": "404-388-3909",
            "fax_number": "678-712-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADEAU",
        "first_name": "SONDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-05",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05669600",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4144007",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.