Provider Demographics
NPI:1659644284
Name:CHRISTOPHER, SONYA (LCSW-R)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:
Last Name:CHRISTOPHER
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 VAN DYKE RD
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:NY
Mailing Address - Zip Code:12054-5112
Mailing Address - Country:US
Mailing Address - Phone:518-694-8825
Mailing Address - Fax:
Practice Address - Street 1:27 VAN DYKE RD
Practice Address - Street 2:
Practice Address - City:DELMAR
Practice Address - State:NY
Practice Address - Zip Code:12054-5112
Practice Address - Country:US
Practice Address - Phone:518-694-8825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-13
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR050200-11041C0700X
1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool