Garo Soeun, MSW STUDENT

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

3200 Adeline St
Berkeley, CA 94703-2407

Phone

(510) 601-0203

NPI assigned

Nov 3, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1326755794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 ADELINE ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032407",
            "telephone_number": "510-601-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 ADELINE ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032407",
            "telephone_number": "510-601-0203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Adeline St",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947032407",
            "country_code": "US",
            "telephone_number": "510-601-0203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOEUN",
        "first_name": "GARO",
        "name_prefix": "Mr.",
        "credential": "MSW STUDENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH SERVICES",
            "identifier": "D9848984",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Snapp, CCC-SLP
• Jane Elizabeth Snow, M.D
• Susanne Snowden, LCSW
• Aowyn Soane, BCBA
• Farhana Sobhan, LMFT
• Saira Soleri, RE
• Aiste Solly, M.A., M.S., CCC-SLP
• Christopher Solomis
• Judith Ann Solomon, PH.D.
• Anthony Somkin, M.D.

• Social Worker in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.