Mandi G Payne, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20706 Issued in OK

Practice address

3432 Pagoda Pead Dr
Yukon, OK 73099-3653

Phone

(682) 702-1526

NPI assigned

Mar 18, 2024

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

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• No Payne No Gain Counseling Services PLLC

  • Clinical Social Worker
  • Yukon, OK
  • NPI 1851127302
  Medicare reassignment NPD Authorized official
• Ou Health Partners, Inc

  • Multi-Specialty Clinic/Center
  • Oklahoma City, OK
  • NPI 1528642642
  Medicare reassignment NPD
• Ou Health Partners, Inc

  • Prosthetic/Orthotic Supplier
  • Oklahoma City, OK
  • NPI 1447834460
  NPD
• Freeman-Cooper Mental Health & Wellness Services

  • Clinical Social Worker
  • Oklahoma City, OK
  • NPI 1508692047
  NPD (past)

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1245099415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 PAGODA PEAD DR",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730993653",
            "telephone_number": "682-702-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3432 PAGODA PEAD DR",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730993653",
            "telephone_number": "682-702-1526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731093413",
            "country_code": "US",
            "telephone_number": "405-231-1470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "MANDI",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "20706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Patterson
• Cheryl Lynd Patty, LMT
• Nicole Payan
• Bradyn Payne, APRN-CNP
• Jennifer Dawn Payne
• McKinley Haydon Payne, OTR/L
• Jana Pearson, CCC-SLP
• Pediatric Dental Care, PLLC
• Natalie Michelle Penick
• Allyson Nicole Perez, COTA

• Clinical Social Worker in Yukon, OK
• Providers in Yukon, 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, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.