Individual provider Active NPI

Karen Ann Desocio, LCSW

  • Clinical Social Worker
  • Edwards AFB, CA
National Provider Identifier
1497727820
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 18451 Issued in CA
Practice address
95TH Medical Group/Sgohf
30 Nightingale Rd
Edwards AFB, CA 93524-0001
Phone
(661) 277-5292
NPI assigned
Feb 1, 2006
Last updated
Mar 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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 LCS 18451 CA Primary

Addresses

Primary practice location

95TH Medical Group/Sgohf
30 Nightingale Rd
Edwards AFB, CA 93524-0001

Mailing address

43466 Gadsden Ave
Apartment 194
Lancaster, CA 93534-6165
Phone (661) 277-5292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100312000250 CA Practitioner - Clinical Social Worker 3274668546 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 18451CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sokyahealth Medical Group PC Clinical CurrentSince Nov 1, 2024 Accepting new patients

Locations

2386 Faraday Ave
Ste 110
Carlsbad, CA 92008
Phone (858) 427-5060

5060 Shoreham Pl
Ste 330
San Diego, CA 92122
Phone (619) 866-0998

Interoperability endpoints

  • Direct secure messaging: karen.desocio.p1@direct.sokya.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1497727820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43466 GADSDEN AVE",
            "address_2": "APARTMENT 194",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935346165",
            "telephone_number": "661-277-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95TH MEDICAL GROUP/SGOHF",
            "address_2": "30 NIGHTINGALE RD",
            "city": "EDWARDS AFB",
            "state": "CA",
            "postal_code": "935240001",
            "telephone_number": "661-277-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESOCIO",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 18451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwards AFB, CA

Sources for this page

Verify at the official NPI Registry.