Provider Demographics
NPI:1093873796
Name:SHANEYFELT, SONJA LAWLESS (LICSW)
Entity Type:Individual
Prefix:
First Name:SONJA
Middle Name:LAWLESS
Last Name:SHANEYFELT
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:SONJA
Other - Middle Name:DYANE
Other - Last Name:LAWLESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:5009 CEDAR TRACE TRL
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-4559
Mailing Address - Country:US
Mailing Address - Phone:205-937-0890
Mailing Address - Fax:
Practice Address - Street 1:5009 CEDAR TRACE TRL
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-4559
Practice Address - Country:US
Practice Address - Phone:205-937-0890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1404C104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker