Active NPI
Nike Odekunle
- Social Worker
- White Plains, NY
National Provider Identifier
1306607858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 122272
- Practice address
- 1133 Westchester Ave Ste N
White Plains, NY 10604-3516 - Phone
- (914) 576-5292
- NPI assigned
- Jan 22, 2024
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 122272 | NY | Primary |
Addresses
Primary practice location
1133 Westchester Ave Ste N
White Plains, NY 10604-3516
Mailing address
1133 Westchester Ave Ste N
West Harrison, NY 10604-3516
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
| License | State | Type | Specialty |
|---|---|---|---|
| 122272 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1306607858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 WESTCHESTER AVE STE N",
"city": "WEST HARRISON",
"state": "NY",
"postal_code": "106043516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 WESTCHESTER AVE STE N",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106043516",
"telephone_number": "914-576-5292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODEKUNLE",
"first_name": "NIKE",
"sole_proprietor": "NO",
"sex": "U",
"enumeration_date": "2024-01-22",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "122272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.