Individual provider Active NPI

Susan Diane Onikama, LCSW

  • Clinical Social Worker
  • Roseburg, OR
National Provider Identifier
1962457762
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L3527 Issued in OR
Practice address
1012 SE Oak Ave
Ste 303
Roseburg, OR 97470-4985
Phone
(541) 229-2178
Fax
(541) 229-2081
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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 L3527 OR Primary

Addresses

Primary practice location

1012 SE Oak Ave
Ste 303
Roseburg, OR 97470-4985

Mailing address

924 SE Kane St
Roseburg, OR 97470-4801
Phone (541) 672-1376

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
L3527ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1962457762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 SE KANE ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974704801",
            "telephone_number": "541-672-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 SE OAK AVE",
            "address_2": "STE 303",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974704985",
            "telephone_number": "541-229-2178",
            "fax_number": "541-229-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONIKAMA",
        "first_name": "SUSAN",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.