Individual provider Active NPI

Kirsten Ingeborg Crider, LCSW

  • Clinical Social Worker
  • Moore, OK
National Provider Identifier
1083855845
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3538 Issued in OK
Practice address
700 S Telephone Rd Ste 302
Moore, OK 73160-2550
Phone
(405) 912-3995
NPI assigned
Mar 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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 3538 OK Primary

Addresses

Primary practice location

700 S Telephone Rd Ste 302
Moore, OK 73160-2550

Mailing address

1130 McNamee St
Norman, OK 73069-5448
Phone (405) 402-9653

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
I20200417000078 OK Practitioner - Clinical Social Worker 0840620787 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norman Behavioral Health Group, LLCGroup PAC ID 3173521341, 10 clinicians

Practice addresses (Care Compare)

712 Wall St
Norman, OK 73069-6360
Phone (405) 579-7560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Behavioral Health Group, LLC CurrentSince Sep 1, 2024 Accepting new patients
Norman Regional Providers Specialty Care CurrentSince Mar 1, 2020 Accepting new patients
Norman Regional Healthplex PastSince Apr 30, 2023 Accepting new patients
Sundance Counseling & Mental Health Past Accepting new patients

Locations

700 S Telephone Rd
Ste 401
Moore, OK 73160
Phone (405) 793-2229

700 S Telephone Rd
Ste 302
Moore, OK 73160
Phone (405) 912-3495

712 Wall St
Ste 100
Norman, OK 73069
Phone (405) 579-7560

712 Wall St
Norman, OK 73069
Phone (405) 579-1505

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

2821 36th Ave NW
Ste 200
Norman, OK 73072
Phone (405) 515-2049

Organizations & group practices 4

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": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1083855845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 MCNAMEE ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730695448",
            "telephone_number": "405-402-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S TELEPHONE RD STE 302",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602550",
            "telephone_number": "405-912-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIDER",
        "first_name": "KIRSTEN",
        "middle_name": "INGEBORG",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.