Janice L. Hendryx

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4205 Issued in OK

Legal business name

JANICE L. HENDRYX

Practice address

3908 N Peniel Ave
Suite 420
Bethany, OK 73008-3458

Phone

(405) 603-3265

Fax

(405) 603-6624

NPI assigned

May 2, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Janice L Hendryx, MSW, LCSW

Title

Licensed Clinical Social Worker

Phone

(405) 517-7612

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1003174608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7244 NW 129TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731422544",
            "telephone_number": "405-517-7612",
            "fax_number": "405-603-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 N PENIEL AVE",
            "address_2": "SUITE 420",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730083458",
            "telephone_number": "405-603-3265",
            "fax_number": "405-603-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANICE L. HENDRYX",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "HENDRYX",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "405-517-7612",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "4205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200362380B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Bethany, OK
• Providers in Bethany, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.