Provider Demographics
NPI:1073709473
Name:PHILIPSON, SOGOL (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SOGOL
Middle Name:
Last Name:PHILIPSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 STANFORD CT
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-1675
Mailing Address - Country:US
Mailing Address - Phone:949-813-1219
Mailing Address - Fax:949-458-3583
Practice Address - Street 1:209 STANFORD CT
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-1675
Practice Address - Country:US
Practice Address - Phone:949-517-2266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker