Active NPI
Jacque Okoemu, LSW
- Social Worker
- Newark, NJ
National Provider Identifier
1457065229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06835900
- Practice address
- 47 Miller St
Newark, NJ 07114 - NPI assigned
- Jan 6, 2023
- Sex
- Female
- 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 | 44SL06835900 | NJ | Primary |
Addresses
Primary practice location
47 Miller St
Newark, NJ 07114
Mailing address
248 Reynolds Ter
Orange, NJ 07050-3360
Other practice location 1
47 Miller St
Newark, NJ 07114
Phone (862) 252-3621
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 |
|---|---|---|---|
| 44SL06835900 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1457065229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 REYNOLDS TER",
"city": "ORANGE",
"state": "NJ",
"postal_code": "070503360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 MILLER ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07114"
}
],
"practiceLocations": [
{
"address_1": "47 Miller St",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "07114",
"country_code": "US",
"telephone_number": "862-252-3621",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OKOEMU",
"first_name": "JACQUE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-06",
"last_updated": "2023-01-06",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06835900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.