Active NPI
Sonya Renee Blick, LISW-CP
- Social Worker
- Columbia, SC
National Provider Identifier
1619220787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 170
- Practice address
- 1205 Pendleton St
Suite 372 Brown Building
Columbia, SC 29201-3756 - Phone
- (803) 734-4525
- Fax
- (803) 734-4538
- NPI assigned
- Oct 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 170 | SC | Primary |
| Clinical Social Worker | 1041C0700X | 170 | SC |
Addresses
Primary practice location
1205 Pendleton St
Suite 372 Brown Building
Columbia, SC 29201-3756
Mailing address
108 Cedar Field LN
West Columbia, SC 29170-1314
Phone (803) 734-4525
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351209600000",
"number": "1619220787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 CEDAR FIELD LN",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291701314",
"telephone_number": "803-734-4525",
"fax_number": "803-734-4538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 PENDLETON ST",
"address_2": "SUITE 372 BROWN BUILDING",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292013756",
"telephone_number": "803-734-4525",
"fax_number": "803-734-4538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLICK",
"first_name": "SONYA",
"middle_name": "RENEE",
"credential": "LISW-CP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-26",
"last_updated": "2012-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "170",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "170",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.