Provider Demographics
NPI:1801616347
Name:SOKOLOSKI, SARAH JO (LCSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JO
Last Name:SOKOLOSKI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JO
Other - Middle Name:
Other - Last Name:SOKOLOSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:230 S BROAD ST STE 1305
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-4104
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:230 S BROAD ST STE 1305
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-4104
Practice Address - Country:US
Practice Address - Phone:215-545-1175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0249851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical