Active NPI
Jennifer Nicole Cody, MSW, LCSW
- Clinical Social Worker
- Ada, OK
National Provider Identifier
1053728964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7861
- Practice address
- 2102 N Broadway Ave
Ada, OK 74820-1048 - Phone
- (580) 453-1835
- NPI assigned
- Jul 14, 2014
- 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 | 7861 | OK | Primary |
Addresses
Primary practice location
2102 N Broadway Ave
Ada, OK 74820-1048
Mailing address
2102 N Broadway Ave
Ada, OK 74820-1048
Phone (580) 453-1835
Other practice location 1
527 W Third Street
Konawa, OK 74849
Phone (580) 925-3286
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 |
|---|---|---|---|
| 7861 | OK | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1053728964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2102 N BROADWAY AVE",
"city": "ADA",
"state": "OK",
"postal_code": "748201048",
"telephone_number": "580-453-1835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2102 N BROADWAY AVE",
"city": "ADA",
"state": "OK",
"postal_code": "748201048",
"telephone_number": "580-453-1835"
}
],
"practiceLocations": [
{
"address_1": "527 W Third Street",
"address_purpose": "LOCATION",
"city": "Konawa",
"state": "OK",
"postal_code": "74849",
"country_code": "US",
"telephone_number": "580-925-3286",
"fax_number": "580-925-9149",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CODY",
"first_name": "JENNIFER",
"middle_name": "NICOLE",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-14",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "7861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.