Individual provider Active NPI

Uche Okolie, LCSW, LICSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1427526664
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100810 Issued in CA
Practice address
1001 Wilshire Boulevard
2056
Los Angeles, CA 90017
Phone
(818) 724-8077
NPI assigned
Nov 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 123186 MA
Clinical Social Worker 1041C0700X 100810 CA Primary

Addresses

Primary practice location

1001 Wilshire Boulevard
2056
Los Angeles, CA 90017

Mailing address

1001 Wilshire Blvd # 2056
Los Angeles, CA 90017-2415

Other practice location 1

338 S Dakota Ave
Vandenberg AFB, CA 93437-6307
Phone (805) 606-6117

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
123186MAMDClinical Social Worker
100810CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Uche Okolie Counseling Licensed Clinical Social Worker Inc. Clinical Current Accepting new patients

Locations

1001 Wilshire Blvd
Los Angeles, CA 90017
Phone (702) 246-2584

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": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1427526664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WILSHIRE BLVD # 2056",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WILSHIRE BOULEVARD",
            "address_2": "2056",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90017",
            "telephone_number": "818-724-8077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "338 S Dakota Ave",
            "address_purpose": "LOCATION",
            "city": "Vandenberg AFB",
            "state": "CA",
            "postal_code": "934376307",
            "country_code": "US",
            "telephone_number": "805-606-6117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKOLIE",
        "first_name": "UCHE",
        "credential": "LCSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "123186",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "100810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.