Individual provider Active NPI

Olatoun Okediji, LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1982220620
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW17112 Issued in FL
Practice address
PO Box 102222
Atlanta, GA 30368-2222
Phone
(239) 274-8200
NPI assigned
Jun 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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 SW17112 FL Primary

Addresses

Primary practice location

PO Box 102222
Atlanta, GA 30368-2222

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230105000001 FL Practitioner - Clinical Social Worker 5890165005 Reassigns benefits to 1 organization
I20250830000249 TX Practitioner - Clinical Social Worker 5890165005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

6420 W Newberry Rd E Wing
1 Florida Cancer Specialists P L
Gainesville, FL 32605-4308
Phone (352) 332-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Dec 1, 2022 Accepting new patients
Brave Health Medical Group PA CurrentSince Aug 8, 2025 Accepting new patients

Locations

750 Orienta Ave
Altamonte Springs, FL 32701
Phone (407) 553-7710

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

6420 W Newberry Rd
Ste 100
Gainesville, FL 32605
Phone (352) 332-3900

1951 NW 7th Ave
Fl 3
Miami, FL 33136
Phone (305) 297-4749

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

13060 US Highway 1
Fl Cancer
Sebastian, FL 32958
Phone (772) 589-0879

4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244

3730 7th Ter
Ste 101
Vero Beach, FL 32960
Phone (772) 567-2332

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

675 Town Square Blvd
Ste 200
Garland, TX 75040
Phone (305) 579-9538

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1982220620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEDIJI",
        "first_name": "OLATOUN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.