Individual provider Active NPI

Julie Sokol, LCSW

  • Clinical Social Worker
  • Kenosha, WI
National Provider Identifier
1659851962
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
326-123 Issued in WI
Practice address
6032 40TH Ave
Kenosha, WI 53142-7018
Phone
(262) 287-1999
Fax
(262) 287-0884
NPI assigned
Aug 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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 326-123 WI Primary

Addresses

Primary practice location

6032 40TH Ave
Kenosha, WI 53142-7018

Mailing address

6032 40TH Ave
Kenosha, WI 53142-7018
Phone (262) 287-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20181107000876 WI Practitioner - Clinical Social Worker 9234483470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6032 40TH Ave
Kenosha, WI 53142-7018
Phone (262) 287-1999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
326-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellqor Psychological Services, PC Clinical CurrentSince Dec 6, 2024 Accepting new patients
Guided Wellness Counseling CurrentSince Sep 9, 2018 Accepting new patients

Locations

135 Pinelawn Rd
Ste 204N
Melville, NY 11747
Phone (631) 328-2440

1112 56th St
Kenosha, WI 53140

6032 40th Ave
Kenosha, WI 53142
Phone (262) 287-1999

345 W Washington Ave
Ste 301
Madison, WI 53703
Phone (312) 999-0201

Organizations & group practices 2

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": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1659851962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6032 40TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427018",
            "telephone_number": "262-287-1999",
            "fax_number": "262-287-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6032 40TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427018",
            "telephone_number": "262-287-1999",
            "fax_number": "262-287-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKOL",
        "first_name": "JULIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "326-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.