NPIMap

Organization Active NPI

Sandra L. Edwards, LCSW-PLC

  • Clinical Social Worker
  • Norman, OK
National Provider Identifier
1164790192
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2695 Issued in OK
Legal business name
SANDRA L. EDWARDS, LCSW-PLC
Practice address
633 Sherwood Dr
Norman, OK 73071-4963
Phone
(405) 476-3022
Fax
(877) 848-1382
NPI assigned
Dec 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Authorized official

Name
Sandra Lee Edwards, LCSW
Title
President
Phone
(405) 476-4022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 2695 OK Primary

Addresses

Primary practice location

633 Sherwood Dr
Norman, OK 73071-4963

Mailing address

633 Sherwood Dr
Norman, OK 73071-4963
Phone (405) 476-3022

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1164790192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 SHERWOOD DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730714963",
            "telephone_number": "405-476-3022",
            "fax_number": "877-848-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 SHERWOOD DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730714963",
            "telephone_number": "405-476-3022",
            "fax_number": "877-848-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA L. EDWARDS, LCSW-PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-476-4022",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "2695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.