Individual provider Active NPI

Mikhail Oakes, LSW

  • Social Worker
  • Moorestown, NJ
National Provider Identifier
1144063462
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06920100 Issued in NJ
Practice address
1221 N Church St Ste 101
Moorestown, NJ 08057-1245
Phone
(609) 505-3068
NPI assigned
Jun 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06920100 NJ Primary

Addresses

Primary practice location

1221 N Church St Ste 101
Moorestown, NJ 08057-1245

Mailing address

532 Old Marlon Pike
P.O. Box 128
Marlton, NJ 08053
Phone (856) 832-5655

Other names 1

  • Mrs. Misha Oakes Other name

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
44SL06920100NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Brain Balance, LLC CurrentSince Jun 16, 2024 Accepting new patients

Locations

1221 N Church St
Ste 101
Moorestown, NJ 08057
Phone (609) 505-3068

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1144063462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 OLD MARLON PIKE",
            "address_2": "P.O. BOX 128",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-832-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 N CHURCH ST STE 101",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571245",
            "telephone_number": "609-505-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAKES",
        "first_name": "MIKHAIL",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06920100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISHA",
            "last_name": "OAKES",
            "prefix": "MRS.",
            "credential": "LSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.