Active NPI
Sonda Hawley Shank, LCSW
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1740375427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C001811
- Practice address
- 3125 Poplarwood CT
The Aspen BLDG Ste 100
Raleigh, NC 27604-1084 - Phone
- (800) 632-6074
- Fax
- (866) 341-7509
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C001811 | NC | Primary |
Addresses
Primary practice location
3125 Poplarwood CT
The Aspen BLDG Ste 100
Raleigh, NC 27604-1084
Mailing address
13575 58TH St N
Suite 190
Clearwater, FL 33760-3740
Phone (800) 632-6074
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6106545 | Medicaid | NC | |
| P00106580 | Other | NC | RR MEDICARE # - PARADIGM |
Other names 1
- Sonda L Hawley
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paradigm Health, LLC | Past | Accepting new patients | |
| Paradigm Health Services, Inc | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Clearwater, FL
- NPI 1942245568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355097600000",
"number": "1740375427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13575 58TH ST N",
"address_2": "SUITE 190",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337603740",
"telephone_number": "800-632-6074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 POPLARWOOD CT",
"address_2": "THE ASPEN BLDG STE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276041084",
"telephone_number": "800-632-6074",
"fax_number": "866-341-7509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANK",
"first_name": "SONDA",
"middle_name": "HAWLEY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2012-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C001811",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6106545",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE # - PARADIGM",
"identifier": "P00106580",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SONDA",
"last_name": "HAWLEY",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.