Individual provider Active NPI

Olivia Sokolic, LMSW

  • Social Worker
  • Fulton, NY
National Provider Identifier
1730944356
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
121529-01 Issued in NY
Practice address
163 S 1St St
Fulton, NY 13069-1721
Phone
(315) 592-4453
NPI assigned
Feb 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 121529-01 NY Primary

Addresses

Primary practice location

163 S 1St St
Fulton, NY 13069-1721

Mailing address

163 S 1St St
Fulton, NY 13069-1721
Phone (315) 592-4453

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
121529-01NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cac Foundation, Inc. PastSince Feb 18, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: olivia.sokolic.p1@direct.liberty-resources.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1730944356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 S 1ST ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691721",
            "telephone_number": "315-592-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 S 1ST ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691721",
            "telephone_number": "315-592-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKOLIC",
        "first_name": "OLIVIA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "121529-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.