Individual provider Active NPI

Oksana Heicklen, MFT

  • Clinical Social Worker
  • Escondido, CA
National Provider Identifier
1093938664
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MFC43656 Issued in CA
Practice address
1002 E Grand Ave
Palomar Family Counseling Services
Escondido, CA 92025-4605
Phone
(760) 741-2660
Fax
(760) 741-2647
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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 MFC43656 CA Primary

Addresses

Primary practice location

1002 E Grand Ave
Palomar Family Counseling Services
Escondido, CA 92025-4605

Mailing address

460 Compass Rd
Oceanside, CA 92054
Phone (760) 741-2660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090916000207 CA Practitioner - Other (Non-Physician) 7810043809 Practice locations: Carlsbad, CA

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3088 Pio Pico Dr
Suite 202
Carlsbad, CA 92008-1965
Phone (760) 805-4740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC43656CAMDClinical Social Worker
43656CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1093938664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 COMPASS RD",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92054",
            "telephone_number": "760-741-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 E GRAND AVE",
            "address_2": "PALOMAR FAMILY COUNSELING SERVICES",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254605",
            "telephone_number": "760-741-2660",
            "fax_number": "760-741-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEICKLEN",
        "first_name": "OKSANA",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "MFC43656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.