Individual provider Active NPI

Judy Paden

  • Clinical Social Worker
  • Muskogee, OK
National Provider Identifier
1225575491
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
814 W Okmulgee St
Muskogee, OK 74401-6839
Phone
(918) 682-9292
Fax
(918) 682-0054
NPI assigned
Jan 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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 Primary

Addresses

Primary practice location

814 W Okmulgee St
Muskogee, OK 74401-6839

Mailing address

814 W Okmulgee St
Muskogee, OK 74401-6839
Phone (918) 682-9292

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
I20191219001859 OK Practitioner - Clinical Social Worker 4688008915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Oklahoma College of Medicine, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Integrity Pathways IncGroup PAC ID 3577702653, 3 clinicians

Practice addresses (Care Compare)

814 W Okmulgee St
Muskogee, OK 74401-6839
Phone (918) 682-9292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5760OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Pathways Inc CurrentSince Oct 23, 2019 Accepting new patients

Locations

814 W Okmulgee St
Muskogee, OK 74401
Phone (918) 682-9292

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1225575491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 W OKMULGEE ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744016839",
            "telephone_number": "918-682-9292",
            "fax_number": "918-682-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 W OKMULGEE ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744016839",
            "telephone_number": "918-682-9292",
            "fax_number": "918-682-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADEN",
        "first_name": "JUDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.