Dana Sockolov

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

6154 Mission Gorge Rd Ste 120
San Diego, CA 92120-3435

Phone

(619) 285-1718

NPI assigned

Mar 23, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 2, 2025 through Apr 2, 2027

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Dana Sockolov Marriage and Family Therapy Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
  • NPI 1336094036
  NPD Authorized official

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1336533934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 RUFFIN RD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231875",
            "telephone_number": "858-384-6284",
            "fax_number": "858-384-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6154 MISSION GORGE RD STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203435",
            "telephone_number": "619-285-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCKOLOV",
        "first_name": "DANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Socal Surgical Imaging
• Social Advocates for Youth San Diego, Inc. (SAY, San Diego)
• Social Communication Specialists Speech Therapy Clinic Apc
• Social Good Fund (Community Allies for Psychological Assistance)
• Nicole Marie Socie, OTR
• Emily M Socola-McCormick, MA
• Dustin Soderberg
• Paula Harriet Soderberg
• Matthew F Soeherman, DDS
• Beth Ann Soelberg, PT, DPT

• Addiction (Substance Use Disorder) Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.