Active NPI
Karen Ann Desocio, LCSW
- Clinical Social Worker
- Edwards AFB, CA
National Provider Identifier
1497727820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 18451
- 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, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 18451 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sokyahealth Medical Group PC | Clinical | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.