Gemma I Sohn, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW20257 Issued in FL

Practice address

220 Lukasik Ave
Hurlburt Field, FL 32544-5409

Phone

(850) 665-0627

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1073613873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 OWAISSA RD SE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221805929",
            "telephone_number": "703-597-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LUKASIK AVE",
            "city": "HURLBURT FIELD",
            "state": "FL",
            "postal_code": "325445409",
            "telephone_number": "850-665-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOHN",
        "first_name": "GEMMA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-12-04",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09979",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003545",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "465302500",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "483700200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley Johnson Sims, LCSW
• Alexandra Campbell Smith, LICSW (MA, LCSW (FL)
• Jeffrey James Smith, LCSW, DSW, BCD
• Malloree Jne Smith, PSYD
• Sarah Frances Smith, MPT, OCS
• Tatiana Margarita Soria, PSY.D.
• Jonathan James Sparks
• Sinead Catherine Specht
• Dermont Matarjaro Spell, DC
• Nicole Pukylo Spickerman, IDMT

• Clinical Social Worker in Hurlburt Field, FL
• Providers in Hurlburt Field, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.