Individual provider Active NPI

Abigail Diandra Sok

  • Clinical Social Worker
  • Hudsonville, MI
National Provider Identifier
1174380752
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801117784 Issued in MI
Practice address
5519 Lincoln CT
Hudsonville, MI 49426-1309
Phone
(616) 422-1736
NPI assigned
Feb 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801117784 MI Primary

Addresses

Primary practice location

5519 Lincoln CT
Hudsonville, MI 49426-1309

Mailing address

5519 Lincoln CT
Hudsonville, MI 49426-1309
Phone (616) 422-1736

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

LicenseStateTypeSpecialty
6801117784MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Virtuwell Therapy, LLC PastSince Feb 4, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1174380752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5519 LINCOLN CT",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261309",
            "telephone_number": "616-422-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5519 LINCOLN CT",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261309",
            "telephone_number": "616-422-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOK",
        "first_name": "ABIGAIL",
        "middle_name": "DIANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801117784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudsonville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.