Provider Demographics
NPI:1245748466
Name:OJO, SHEREE (LCSW)
Entity type:Individual
Prefix:
First Name:SHEREE
Middle Name:
Last Name:OJO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3999 NW 163RD ST
Mailing Address - Street 2:
Mailing Address - City:OPA LOCKA
Mailing Address - State:FL
Mailing Address - Zip Code:33054-6286
Mailing Address - Country:US
Mailing Address - Phone:561-288-0080
Mailing Address - Fax:
Practice Address - Street 1:3999 NW 163RD ST
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33054-6286
Practice Address - Country:US
Practice Address - Phone:561-288-0080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-22
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTPSW51191041C0700X
VT08901365911041C0700X
FL374J00000X
IL1490285621041C0700X
RIISW0499931041C0700X
SCTLS1444CP1041C0700X
FL240359376J00000X
CT106901041C0700X
WASC616118231041C0700X
ID54711691041C0700X
ME224701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No374J00000XNursing Service Related ProvidersDoula
No376J00000XNursing Service Related ProvidersHomemaker
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL127747000Medicaid
FL124977800Medicaid