Individual provider Active NPI

Sunari Cody, LCSW

  • Clinical Social Worker
  • Hahira, GA
National Provider Identifier
1871017525
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW008059
Practice address
527 Cottonwood CV
Hahira, GA 31632-1591
Phone
(229) 375-1673
NPI assigned
Aug 2, 2017
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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 CSW008059 Primary

Addresses

Primary practice location

527 Cottonwood CV
Hahira, GA 31632-1591

Mailing address

527 Cottonwood CV
Hahira, GA 31632-1591

Other names 1

  • Sunari Robinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104000766 GA Practitioner - Clinical Social Worker 2769833722 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Headspace Mental Wellness Club LLC Clinical CurrentSince Jan 26, 2025 Accepting new patients
Clear Point Therapeutic Services LLC Clinical CurrentSince May 18, 2025 Accepting new patients

Locations

111 Woodrow Wilson Dr
Ste A
Valdosta, GA 31602
Phone (229) 253-0105

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1871017525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 COTTONWOOD CV",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "316321591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 COTTONWOOD CV",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "316321591",
            "telephone_number": "229-375-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODY",
        "first_name": "SUNARI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "CSW008059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUNARI",
            "last_name": "ROBINSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hahira, GA

Sources for this page

Verify at the official NPI Registry.