Organization Active NPI

Mary Madonna LLC

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1104459395
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MARY MADONNA LLC
Practice address
5808 NW 109TH St
Oklahoma City, OK 73162-5836
Phone
(405) 695-2661
NPI assigned
Feb 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Authorized official

Name
Mary Madonna Schlumpberger, MSW, LCSWNPI 1164069258
Title
Therapist
Phone
(405) 695-2661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5808 NW 109TH St
Oklahoma City, OK 73162-5836

Mailing address

5808 NW 109TH St
Oklahoma City, OK 73162-5836
Phone (405) 695-2661

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1104459395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5808 NW 109TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731625836",
            "telephone_number": "405-695-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5808 NW 109TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731625836",
            "telephone_number": "405-695-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY MADONNA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "SCHLUMPBERGER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "MADONNA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "405-695-2661",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Feb 17, 2020; 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.