Individual provider Active NPI

Eric Oakes

  • Clinical Social Worker
  • Pompano Beach, FL
National Provider Identifier
1023486339
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6291 Issued in FL
Practice address
950 N Federal Hwy
115
Pompano Beach, FL 33062-4315
Phone
(954) 533-7705
NPI assigned
Sep 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW6291 FL Primary

Addresses

Primary practice location

950 N Federal Hwy
115
Pompano Beach, FL 33062-4315

Mailing address

950 N Federal Hwy
115
Pompano Beach, FL 33062-4315
Phone (954) 533-7705

Other identifiers 1

IdentifierTypeStateIssuer
SW6291OtherFLLICNESE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW6291FLMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1023486339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N FEDERAL HWY",
            "address_2": "115",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624315",
            "telephone_number": "954-533-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N FEDERAL HWY",
            "address_2": "115",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624315",
            "telephone_number": "954-533-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAKES",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICNESE",
            "identifier": "SW6291",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.