Provider Demographics
NPI:1588234876
Name:SOKOL, KASEY (LPC)
Entity Type:Individual
Prefix:
First Name:KASEY
Middle Name:
Last Name:SOKOL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2034 WINFREE RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23663-1115
Mailing Address - Country:US
Mailing Address - Phone:772-323-8206
Mailing Address - Fax:
Practice Address - Street 1:15064 CARROLLTON BLVD STE 19
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:VA
Practice Address - Zip Code:23314-3580
Practice Address - Country:US
Practice Address - Phone:772-323-8206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-29
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701010564101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty