Provider Demographics
NPI:1104172766
Name:SONNER, VERONICA (LCSW)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:SONNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:
Other - Last Name:NIEVES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:2530 SUNNYSIDE SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28312-6917
Mailing Address - Country:US
Mailing Address - Phone:203-892-1480
Mailing Address - Fax:
Practice Address - Street 1:1017 HOPE MILLS RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-4234
Practice Address - Country:US
Practice Address - Phone:910-491-6011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-31
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0092901041C0700X
NCC0112261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical