Active NPI
Judith Nancy Fears, LCSW
- Clinical Social Worker
- Oklahoma City, OK
National Provider Identifier
1053507673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0242
- Practice address
- 1145 S.W. 74TH
Suite E-201
Oklahoma City, OK 73139 - Phone
- (405) 631-2593
- Fax
- (405) 631-2607
- NPI assigned
- Sep 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0242 | OK | Primary |
Addresses
Primary practice location
1145 S.W. 74TH
Suite E-201
Oklahoma City, OK 73139
Mailing address
3909 Bellwood Dr
Norman, OK 73072-3622
Phone (405) 631-2593
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0242 | OK | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NCC Partners, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Norman, OK
- NPI 1205934502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190073600000",
"number": "1053507673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3909 BELLWOOD DR",
"city": "NORMAN",
"state": "OK",
"postal_code": "730723622",
"telephone_number": "405-631-2593",
"fax_number": "405-631-2607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 S.W. 74TH",
"address_2": "SUITE E-201",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73139",
"telephone_number": "405-631-2593",
"fax_number": "405-631-2607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEARS",
"first_name": "JUDITH",
"middle_name": "NANCY",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-18",
"last_updated": "2007-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "0242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.