Active NPI
Jennifer Pauline Childers, L.C.S.W
- Clinical Social Worker
- Stillwater, OK
National Provider Identifier
1265615561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3838
- Practice address
- 2324 W 7TH PL
Suite 7
Stillwater, OK 74074-1927 - Phone
- (405) 269-4331
- Fax
- (405) 533-2086
- NPI assigned
- Dec 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3838 | OK | Primary |
Addresses
Primary practice location
2324 W 7TH PL
Suite 7
Stillwater, OK 74074-1927
Mailing address
2324 W 7TH PL
Suite 7
Stillwater, OK 74074-1927
Phone (405) 269-4331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3838 | OK | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402012800000",
"number": "1265615561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2324 W 7TH PL",
"address_2": "SUITE 7",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740741927",
"telephone_number": "405-269-4331",
"fax_number": "405-533-2086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2324 W 7TH PL",
"address_2": "SUITE 7",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740741927",
"telephone_number": "405-269-4331",
"fax_number": "405-533-2086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDERS",
"first_name": "JENNIFER",
"middle_name": "PAULINE",
"name_prefix": "Mrs.",
"credential": "L.C.S.W",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-10",
"last_updated": "2014-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "3838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.