Organization Active NPI

Oxendale & Associates, LLC

  • Social Worker
  • Norton Shores, MI
National Provider Identifier
1235668542
Registry record updated Jun 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801083239 Issued in MI
Legal business name
OXENDALE & ASSOCIATES, LLC
Practice address
800 E Ellis Rd # 540
Norton Shores, MI 49441-5646
Phone
(616) 202-2150
NPI assigned
Jun 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2017

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

Authorized official

Name
Mr. Gary L. Oxendale, LMSWNPI 1114341914
Title
Owner/Therapist
Phone
(616) 202-2150

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
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X 6801083239 MI Primary

Addresses

Primary practice location

800 E Ellis Rd # 540
Norton Shores, MI 49441-5646

Mailing address

PO Box 3
Whitehall, MI 49461-0003
Phone (616) 202-2150

National Provider Directory

National Provider Directory

Locations

800 E Ellis Rd
#540
Norton Shores, MI 49441
Phone (616) 202-2150

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": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496880000000",
    "number": "1235668542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494610003",
            "telephone_number": "616-202-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E ELLIS RD # 540",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494415646",
            "telephone_number": "616-202-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXENDALE & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2017-06-08",
        "status": "A",
        "authorized_official_last_name": "OXENDALE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "616-202-2150",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801083239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; 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.