Provider Demographics
NPI:1881368926
Name:LEWIS, SONYA MARIE (LICSW)
Entity type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:MARIE
Last Name:LEWIS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:SONYA
Other - Middle Name:MARIE
Other - Last Name:ARNOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:265 ESTATE DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-5949
Mailing Address - Country:US
Mailing Address - Phone:304-203-9805
Mailing Address - Fax:
Practice Address - Street 1:265 ESTATE DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26508-5949
Practice Address - Country:US
Practice Address - Phone:304-203-9805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVDP009446911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical