Active NPI
Daisy Ann Ukonu, LCSW
- Clinical Social Worker
- Victorville, CA
National Provider Identifier
1730208927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 22313
- Practice address
- 14252 St Andrews Drive
Suite #5
Victorville, CA 92394 - Phone
- (760) 261-4755
- Fax
- (760) 261-4756
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 22313 | CA | Primary |
Addresses
Primary practice location
14252 St Andrews Drive
Suite #5
Victorville, CA 92394
Mailing address
12127 Mall Blvd Suite a #149
Victorville, CA 92392-8513
Phone (760) 261-4755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22313 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554940800000",
"number": "1730208927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12127 MALL BLVD SUITE A #149",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923928513",
"telephone_number": "760-261-4755",
"fax_number": "760-261-4756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14252 ST ANDREWS DRIVE",
"address_2": "SUITE #5",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "92394",
"telephone_number": "760-261-4755",
"fax_number": "760-261-4756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UKONU",
"first_name": "DAISY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2019-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "22313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.