Provider Demographics
NPI:1871990085
Name:SHUHART, SONIA MILENA (LCSW)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:MILENA
Last Name:SHUHART
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SONIA
Other - Middle Name:MILENA
Other - Last Name:CARPIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2100 WASHINGTON BLVD
Mailing Address - Street 2:FLOOR 4
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-5703
Mailing Address - Country:US
Mailing Address - Phone:703-228-1600
Mailing Address - Fax:
Practice Address - Street 1:202 B 6TH AVE E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-3420
Practice Address - Country:US
Practice Address - Phone:941-243-1252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-03
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040087671041C0700X
FLS171141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical