Individual provider Active NPI

Carole Beth Okun, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1386847044
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R055184-1 Issued in NY
Practice address
80 Van Dam St
2ND Floor
New York, NY 10013
Phone
(212) 366-8040
Fax
(212) 366-8144
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R055184-1 NY Primary

Addresses

Primary practice location

80 Van Dam St
2ND Floor
New York, NY 10013

Mailing address

501 Riverdale Ave
Apt 3J
Yonkers, NY 10705-3583
Phone (914) 968-8259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070726000487 NY Practitioner - Clinical Social Worker 8820199417 Practice locations: Latham, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

596 New Loudon Rd
Latham, NY 12110-4024
Phone (518) 334-5954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R055184-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
William J Feeney MD PLLC PastSince Jul 1, 2004 Accepting new patients
Carole B. Okun, LCSW-R Clinical PastSince Jun 22, 2015 Accepting new patients
Leilanie Martin Family Health NP PLLC PastSince Sep 1, 2022 Accepting new patients
Behavioral Health Services North, Inc. PastSince Apr 19, 2020 Accepting new patients
Steven E Fox Inc PastSince Aug 16, 2012 Accepting new patients
Behavioral Health Services North, Inc. PastSince Apr 28, 2024 Accepting new patients

Organizations & group practices 6

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386847044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 RIVERDALE AVE",
            "address_2": "APT 3J",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107053583",
            "telephone_number": "914-968-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 VAN DAM ST",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10013",
            "telephone_number": "212-366-8040",
            "fax_number": "212-366-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUN",
        "first_name": "CAROLE",
        "middle_name": "BETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R055184-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.