Organization Active NPI

Maranda Greenfield, LCSW PLLC

  • Community/Behavioral Health Agency
  • Norman, OK
National Provider Identifier
1003168634
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3425 Issued in OK
Legal business name
MARANDA GREENFIELD, LCSW PLLC
Practice address
1809 Oakmeadows Dr
Norman, OK 73071-1254
Phone
(405) 863-1194
NPI assigned
Oct 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Mrs. Maranda Jane Greenfield, LCSWNPI 1326260563
Title
Owner/Therapist
Phone
(405) 863-1194

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 3425 OK Primary

Addresses

Primary practice location

1809 Oakmeadows Dr
Norman, OK 73071-1254

Mailing address

1809 Oakmeadows Dr
Norman, OK 73071-1254
Phone (405) 863-1194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121217000104 OK Part B Supplier - Clinic/Group Practice 3779735964 Receives reassigned benefits from 1 practitioner
Practice locations: Norman, OK

National Provider Directory

National Provider Directory

Locations

330 W Gray St
Ste 402
Norman, OK 73069
Phone (405) 863-1194

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1003168634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 OAKMEADOWS DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730711254",
            "telephone_number": "405-863-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 OAKMEADOWS DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730711254",
            "telephone_number": "405-863-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARANDA GREENFIELD, LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "GREENFIELD",
        "authorized_official_first_name": "MARANDA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "405-863-1194",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "3425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.