Provider Demographics
NPI:1447270640
Name:WONNUM, SUNDONIA JEANETTE (PHD, LCSW)
Entity type:Individual
Prefix:DR
First Name:SUNDONIA
Middle Name:JEANETTE
Last Name:WONNUM
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:MISS
Other - First Name:SUNDONIA
Other - Middle Name:JEANETTE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:FORT BELVOIR COMMUNITY HOSPITAL
Mailing Address - Street 2:9300 DEWITT LOOP
Mailing Address - City:FORT BELVOIR
Mailing Address - State:VA
Mailing Address - Zip Code:22060-5285
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:307 BOATNER RD STE 114
Practice Address - Street 2:
Practice Address - City:EGLIN AFB
Practice Address - State:FL
Practice Address - Zip Code:32542-1302
Practice Address - Country:US
Practice Address - Phone:850-883-8650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040067431041C0700X
GAMSW0039071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical