Individual provider Active NPI

Jennifer Macy Oosthuizen, LCSW

  • Clinical Social Worker
  • Port Saint Lucie, FL
National Provider Identifier
1255872909
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15577 Issued in FL
Practice address
9215 SW Esule Way
Port Saint Lucie, FL 34987-3407
Phone
(561) 878-0737
NPI assigned
Mar 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW15577 FL
School Social Worker 1041S0200X SW15577 FL
Clinical Social Worker 1041C0700X SW15577 FL Primary

Addresses

Primary practice location

9215 SW Esule Way
Port Saint Lucie, FL 34987-3407

Mailing address

9215 SW Esule Way
Port Saint Lucie, FL 34987-3407
Phone (561) 878-0737

Other practice location 1

2640 Forest Hill Blvd
West Palm Beach, FL 33406-5931
Phone (561) 616-8411

Other names 1

  • Jennifer Macy Oosthuizen 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
SW15577FLMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1255872909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9215 SW ESULE WAY",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349873407",
            "telephone_number": "561-878-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9215 SW ESULE WAY",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349873407",
            "telephone_number": "561-878-0737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2640 Forest Hill Blvd",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334065931",
            "country_code": "US",
            "telephone_number": "561-616-8411",
            "fax_number": "561-616-8412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OOSTHUIZEN",
        "first_name": "JENNIFER",
        "middle_name": "MACY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-14",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW15577",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "FL",
            "license": "SW15577",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "OOSTHUIZEN",
            "middle_name": "MACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.