MEDICARE: MS. LISA SOKOL LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	22612	CA

General Provider Information

NPI Number	:	1649307927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LISA SOKOL LCSW

Provider Business Mailing Address
First Line	:	345 LAUREL ST APT C
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-1667
Country	:	US
Telephone Number	:	619-788-2117
Fax Number	:	619-593-0528

Provider Business Practice Location Address
First Line	:	1221 EMERALD AVE
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92020-7315
Country	:	US
Telephone Number	:	619-593-0471
Fax Number	:	619-593-0528

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	06/06/2025

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