Individual provider Active NPI

Megan Rachelle Wadsack, LMSW

  • Social Worker
  • Oklahoma City, OK
National Provider Identifier
1003408618
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6403 Issued in OK
Practice address
2617 General Pershing Blvd
Oklahoma City, OK 73107-6437
Phone
(405) 858-2700
NPI assigned
Feb 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6403 OK Primary

Addresses

Primary practice location

2617 General Pershing Blvd
Oklahoma City, OK 73107-6437

Mailing address

PO Box 12978
Oklahoma City, OK 73157-2978
Phone (405) 858-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240722001247 OK Practitioner - Clinical Social Worker 0547706004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2500 McGee Dr
Suite 127
Norman, OK 73072-6705
Phone (405) 708-2906

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6403OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
North Oklahoma County Mental Health Center CurrentSince May 11, 2024 Accepting new patients
Megan Wadsack LCSW PLLC CurrentSince Jan 1, 2025 Accepting new patients
Jeffery Bishop LCSW PLLC CurrentSince Jan 12, 2025 Accepting new patients

Locations

2500 McGee Dr
Ste 127
Norman, OK 73072
Phone (405) 708-2906

2617 General Pershing Blvd
Oklahoma City, OK 73107
Phone (405) 858-1700

Organizations & group practices 3

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": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1003408618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12978",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731572978",
            "telephone_number": "405-858-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 GENERAL PERSHING BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731076437",
            "telephone_number": "405-858-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADSACK",
        "first_name": "MEGAN",
        "middle_name": "RACHELLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OK",
            "license": "6403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.