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Provider Information for 1639361587


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Ms. SVETLANA SOKOL LCSW


Sex: Female

NPI: 1639361587
Last Updated: 2021-10-13
Certification Date: 2021-10-13

Details

NameValue
NPI1639361587
Enumeration Date2007-08-14
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 6717 67TH WAY
PINELLAS PARK, FL 33781-5054
United States

Phone: 727-873-9640 | Fax:
 
Primary Practice Address 4255 73RD AVE N UNIT F
PINELLAS PARK, FL 33781-4546
United States

Phone: 727-873-9640 | Fax:
 
Secondary Practice Address(es)

1012 DRUID RD E
CLEARWATER, FL 33756-5606
United States

Phone: 727-873-9640 | Fax:
 

5800 49TH ST N STE 207
ST PETERSBURG, FL 33709-2100
United States

Phone: 727-873-9640 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalFLSW 8602
No 103K00000X - Behavior Analyst FLSW8602