Individual provider Active NPI

Angela Susan Magarian, LCSW

  • Clinical Social Worker
  • Norman, OK
National Provider Identifier
1073533253
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3582 Issued in OK
Practice address
3750 W Main St
Ste Aa
Norman, OK 73072-4645
Phone
(405) 473-0317
Fax
(800) 230-9608
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 19763 TX
Clinical Social Worker 1041C0700X 19763 TX
Clinical Social Worker 1041C0700X 3582 OK Primary

Addresses

Primary practice location

3750 W Main St
Ste Aa
Norman, OK 73072-4645

Mailing address

3750 W Main St
Ste Aa
Norman, OK 73072-4645
Phone (405) 473-0317

Other identifiers 2

IdentifierTypeStateIssuer
063929601MedicaidTX
1006360660 CMedicaidOK

Other names 1

  • Miss Angela Susan Peterson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090326000245 OK Practitioner - Clinical Social Worker 7012074610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3750 W Main St
Suite Aa
Norman, OK 73072-4645
Phone (405) 473-0317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3582OKMDClinical Social Worker
19763TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Angela Magarian, LCSW, Christian Counseling, LLC Clinical CurrentSince Sep 15, 2014 Accepting new patients
Sundance Counseling & Mental Health Past Accepting new patients

Locations

3750 W Main St
Norman, OK 73072
Phone (405) 329-5252

3750 W Main St
Ste Aa
Norman, OK 73072
Phone (405) 473-0317

Organizations & group practices 2

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1073533253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 W MAIN ST",
            "address_2": "STE AA",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724645",
            "telephone_number": "405-473-0317",
            "fax_number": "800-230-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 W MAIN ST",
            "address_2": "STE AA",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724645",
            "telephone_number": "405-473-0317",
            "fax_number": "800-230-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGARIAN",
        "first_name": "ANGELA",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "19763",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "19763",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063929601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006360660 C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "PETERSON",
            "middle_name": "SUSAN",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.