Individual provider Active NPI

Christine Lynn Sokol, LMSW

  • Clinical Social Worker
  • West Islip, NY
National Provider Identifier
1790069128
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
061269 Issued in NY
Practice address
412 Kime Ave
West Islip, NY 11795-1115
Phone
(631) 274-5240
Fax
(631) 274-5241
NPI assigned
Oct 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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 061269 NY Primary

Addresses

Primary practice location

412 Kime Ave
West Islip, NY 11795-1115

Mailing address

412 Kime Ave
West Islip, NY 11795-1115
Phone (631) 274-5240

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
061269NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1790069128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 KIME AVE",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117951115",
            "telephone_number": "631-274-5240",
            "fax_number": "631-274-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 KIME AVE",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117951115",
            "telephone_number": "631-274-5240",
            "fax_number": "631-274-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKOL",
        "first_name": "CHRISTINE",
        "middle_name": "LYNN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "061269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.