Healthcare Provider Details

I. General information

NPI: 1750401808
Provider Name (Legal Business Name): SONYA SOMIKA BELLETTI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3424 PEACHTREE RD NE STE 2200
ATLANTA GA
30326-1156
US

IV. Provider business mailing address

6730 SW 63RD AVE
SOUTH MIAMI FL
33143-3325
US

V. Phone/Fax

Practice location:
  • Phone: 954-383-1656
  • Fax: 305-455-9695
Mailing address:
  • Phone: 954-383-1656
  • Fax: 305-455-9695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW010341
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW 12485
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: