Active NPI
Jean M Sokol, LCSW, LISAC
- Clinical Social Worker
- Tempe, AZ
National Provider Identifier
1053621797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-2744
- Practice address
- 2435 E Southern Ave
Suite 4
Tempe, AZ 85282-7628 - Phone
- (480) 522-4113
- Fax
- (480) 924-4469
- NPI assigned
- Oct 15, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-2744 | AZ | Primary |
| Clinical Social Worker | 1041C0700X | LISAC-10233 | AZ |
Addresses
Primary practice location
2435 E Southern Ave
Suite 4
Tempe, AZ 85282-7628
Mailing address
2435 E Southern Ave
Suite 4
Tempe, AZ 85282-7628
Phone (480) 522-4113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC-10233 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347235200000",
"number": "1053621797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2435 E SOUTHERN AVE",
"address_2": "SUITE 4",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827628",
"telephone_number": "480-522-4113",
"fax_number": "480-924-4469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 E SOUTHERN AVE",
"address_2": "SUITE 4",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827628",
"telephone_number": "480-522-4113",
"fax_number": "480-924-4469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOKOL",
"first_name": "JEAN",
"middle_name": "M",
"credential": "LCSW, LISAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-15",
"last_updated": "2012-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-2744",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LISAC-10233",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.