MEDICARE: SONDY CADEAU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	44SC05669600	NJ
2	1041C0700X	Clinical Social Worker	CSW006477	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558729590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONDY CADEAU

Provider Business Mailing Address
First Line	:	1108 WOODIRON DR
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30097-7494
Country	:	US
Telephone Number	:	908-456-6317
Fax Number	:

Provider Business Practice Location Address
First Line	:	5971 PARKWAY NORTH BLVD STE C
Second Line	:
City	:	CUMMING
State	:	GA
Zip	:	30040-8842
Country	:	US
Telephone Number	:	404-388-3909
Fax Number	:	678-712-1945

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2016
Last Update Date	:	01/06/2020

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Directions to “ SONDY CADEAU ” Practice Location

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