Active NPI
Sondy Cadeau
- Clinical Social Worker
- Cumming, GA
National Provider Identifier
1558729590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW006477
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4144007 | Medicaid | NJ |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CSW006477 | GA | MD | Clinical 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.