Sally B Oken, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3015 Issued in FL

Practice address

9259 Vista del Lago
18C
Boca Raton, FL 33428-3101

Phone

(561) 235-5045

NPI assigned

May 12, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Sally Kestenbaum Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1336780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338163200000",
    "number": "1104185024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9259 VISTA DEL LAGO",
            "address_2": "18C",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283101",
            "telephone_number": "561-235-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9259 VISTA DEL LAGO",
            "address_2": "18C",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283101",
            "telephone_number": "561-235-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEN",
        "first_name": "SALLY",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-12",
        "last_updated": "2012-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "3015",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26162",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "KESTENBAUM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jewely-Anne Odom, BHSC
• Harry Ofili
• Johnathan James Oggs
• Ohel-Refuah Health
• Lauren Oherlihy
• Peter N Okolo Jr., MD
• Marina Oksengorn, LMHC
• Jaclyn Michele Okun
• Olga Iarossevitch LLC
• Sonia Rizza Olitoquit, PTA

• Clinical Social Worker in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2012; 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.