Provider Demographics
NPI:1710271945
Name:LYNCH, SONYA ANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SONYA
Middle Name:ANN
Last Name:LYNCH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:SONYA
Other - Middle Name:ANN
Other - Last Name:CHAPPELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 528
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-0528
Mailing Address - Country:US
Mailing Address - Phone:210-328-2444
Mailing Address - Fax:
Practice Address - Street 1:401 BUCKEYE DR UNIT 4202
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-4697
Practice Address - Country:US
Practice Address - Phone:912-445-6043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0167151041C0700X
TNLSW00000070081041C0700X
GACSW0053691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX55038Medicaid