Active NPI
Susan Diane Onikama, LCSW
- Clinical Social Worker
- Roseburg, OR
National Provider Identifier
1962457762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L3527
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| L3527 | OR | MD | Clinical 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.