Active NPI
Juanita M. Celie, MSW
- Clinical Social Worker
- Tinker Afb, OK
National Provider Identifier
1033225883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3487
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2449 | LA | MD | Clinical Social Worker |
| 3487 | OK | MD | Speech-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.