Individual provider Active NPI

Christiana Oluwatoyin Sonuga, LCSW, ACM-SW

  • Clinical Social Worker
  • Lawrenceville, GA
National Provider Identifier
1629676333
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005395 Issued in GA
Practice address
699 Clairidge Elm TRL
Lawrenceville, GA 30046-7753
Phone
(770) 630-4659
NPI assigned
Oct 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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 CSW005395 GA Primary

Addresses

Primary practice location

699 Clairidge Elm TRL
Lawrenceville, GA 30046-7753

Mailing address

699 Clairidge Elm TRL
Lawrenceville, GA 30046-7753
Phone (770) 630-4659

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL toyin20@yahoo.com Direct

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

State licenses

LicenseStateTypeSpecialty
CSW005395GAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1629676333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 CLAIRIDGE ELM TRL",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467753",
            "telephone_number": "770-630-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 CLAIRIDGE ELM TRL",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467753",
            "telephone_number": "770-630-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONUGA",
        "first_name": "CHRISTIANA",
        "middle_name": "OLUWATOYIN",
        "name_prefix": "Mrs.",
        "credential": "LCSW, ACM-SW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "toyin20@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "699 Clairidge Elm Trl",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300467753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.