Individual provider Active NPI

Daisy Ann Ukonu, LCSW

  • Clinical Social Worker
  • Victorville, CA
National Provider Identifier
1730208927
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22313 Issued in CA
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

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
22313CAMDPhysician 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.

Verify at the official NPI Registry.