Individual provider Active NPI

Georgia M Slentz, LCSW

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1053594945
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1140 Issued in OK
Practice address
13213 Cedar Springs Rd
Oklahoma City, OK 73120-1809
Phone
(405) 848-0292
Fax
(405) 755-5544
NPI assigned
Dec 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1140 OK Primary

Addresses

Primary practice location

13213 Cedar Springs Rd
Oklahoma City, OK 73120-1809

Mailing address

13213 Cedar Springs Rd
Oklahoma City, OK 73120-1809
Phone (405) 848-0292

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
1140OKMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia M Slentz LCSW 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.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1053594945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13213 CEDAR SPRINGS RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731201809",
            "telephone_number": "405-848-0292",
            "fax_number": "405-755-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13213 CEDAR SPRINGS RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731201809",
            "telephone_number": "405-848-0292",
            "fax_number": "405-755-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLENTZ",
        "first_name": "GEORGIA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "1140",
            "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 Dec 13, 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.

Verify at the official NPI Registry.