Mary Madonna Schlumpberger, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6569-P Issued in OK

Practice address

1624 Cimarron PLZ
Stillwater, OK 74075-3467

Phone

(405) 372-2202

NPI assigned

Dec 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Mary Madonna Enander Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mary Madonna LLC

  • Clinical Social Worker
  • Oklahoma City, OK
  • NPI 1104459395
  NPD (past) Authorized official

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

{
    "created_epoch": "1575763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1164069258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 CIMARRON PLZ",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740753467",
            "telephone_number": "405-372-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 CIMARRON PLZ",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740753467",
            "telephone_number": "405-372-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLUMPBERGER",
        "first_name": "MARY",
        "middle_name": "MADONNA",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-08",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "6569-P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "ENANDER",
            "middle_name": "MADONNA",
            "prefix": "MRS.",
            "credential": "MSW, LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joanna Faith Sawyer
• Jamie Lanette Scantlen
• Ken M Schaecher, P.T.
• Anna Scheer
• Samantha Nicole Scheitzach
• Caylie Donae Schmidt, HIS
• Morgan Mae Schmidt
• Jon Thomas Schneider
• Ethan Schneller, RBT
• Rylee Elizabeth Schneller

• Clinical Social Worker in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.