Provider Demographics
NPI:1215012216
Name:SANDERS-MURRAY, SONYA VANESSA (MSW LCSWC)
Entity type:Individual
Prefix:MS
First Name:SONYA
Middle Name:VANESSA
Last Name:SANDERS-MURRAY
Suffix:
Gender:F
Credentials:MSW LCSWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4843 HAWKSBURY ROAD
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208
Mailing Address - Country:US
Mailing Address - Phone:410-274-8774
Mailing Address - Fax:410-396-0147
Practice Address - Street 1:4843 HAWKSBURY ROAD
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208
Practice Address - Country:US
Practice Address - Phone:410-274-8774
Practice Address - Fax:410-396-0147
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD074071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD193241100Medicaid