Paulette Jobe LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3944 Issued in OK

Legal business name

PAULETTE JOBE LCSW

Practice address

5480 Main Street
Suite 104
Del City, OK 73115-9998

Phone

(405) 772-7440

Fax

(405) 601-7796

NPI assigned

Feb 16, 2015

Last updated

Feb 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daeton Paulette Jobe, LCSW

Title

Sole Member

Phone

(405) 772-7440

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1215328026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 MAIN STREET",
            "address_2": "SUITE 104",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731159998",
            "telephone_number": "405-772-7440",
            "fax_number": "405-601-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 MAIN STREET",
            "address_2": "SUITE 104",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731159998",
            "telephone_number": "405-772-7440",
            "fax_number": "405-601-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULETTE JOBE LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "JOBE",
        "authorized_official_first_name": "DAETON",
        "authorized_official_middle_name": "PAULETTE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "405-772-7440",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Del City, OK
• Providers in Del City, 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 Feb 16, 2015; 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.