Keesha S. Ogburn, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0722531 Issued in NY

Practice address

16318 Jamaica Ave
4TH Floor
Jamaica, NY 11432-4919

Phone

(718) 228-0720

NPI assigned

Dec 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Child Center of New York

  • Community/Behavioral Health Agency
  • Jamaica, NY
  • NPI 1992045447
  NPD (past)

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1669655668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16318 JAMAICA AVE",
            "address_2": "4TH FLOOR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324919",
            "telephone_number": "718-228-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16318 JAMAICA AVE",
            "address_2": "4TH FLOOR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324919",
            "telephone_number": "718-228-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBURN",
        "first_name": "KEESHA",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-12",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0722531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Odom
• Olatunji Odumosu, M.D
• Office of Kieran Gorman DC PC
• Victoria Nora Ogata- Rubio
• Charline Ogbeni, MSED, IBCLC, DOULA
• Suze Oge, LPN
• Thomas Ogera
• Patience Ogola
• Bolanle Adenike Ogundokun, RN
• Julius Ogunnaya

• Clinical Social Worker in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.