Individual provider Active NPI

Juanita M. Celie, MSW

  • Clinical Social Worker
  • Tinker Afb, OK
National Provider Identifier
1033225883
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3487 Issued in OK
Practice address
5700 Arnold St
72 MDG/Sgoh
Tinker Afb, OK 73145-8105
Phone
(405) 734-4393
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2449 LA
Clinical Social Worker 1041C0700X 3487 OK Primary

Addresses

Primary practice location

5700 Arnold St
72 MDG/Sgoh
Tinker Afb, OK 73145-8105

Mailing address

8325 Treeline Dr
Choctaw, OK 73020-4529
Phone (405) 386-5183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2449LAMDClinical Social Worker
3487OKMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1033225883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 TREELINE DR",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730204529",
            "telephone_number": "405-386-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 ARNOLD ST",
            "address_2": "72 MDG/SGOH",
            "city": "TINKER AFB",
            "state": "OK",
            "postal_code": "731458105",
            "telephone_number": "405-734-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELIE",
        "first_name": "JUANITA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "2449",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinker Afb, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.