Rhonda Hackney
Individual provider Active NPI Clinical Social Worker · Noble, OK
NPI 1306297296 · NPPES record last updated Jun 22, 2016
Key facts
- NPI
- 1306297296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2689 (OK)
- Practice address
- 507 Willis St
Noble, OK 73068-8213 - Phone
- (405) 303-0488
- NPI assigned
- Jun 22, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2689 | OK | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2689 | OK | Yes |
Addresses
Primary practice location
507 Willis St
Noble, OK 73068-8213
Mailing address
507 Willis St
Noble, OK 73068-8213
Phone (405) 303-0488
NPI Registry JSON
{
"created_epoch": "1466553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466553600000",
"number": "1306297296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 WILLIS ST",
"city": "NOBLE",
"state": "OK",
"postal_code": "730688213",
"telephone_number": "405-303-0488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 WILLIS ST",
"city": "NOBLE",
"state": "OK",
"postal_code": "730688213",
"telephone_number": "405-303-0488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKNEY",
"first_name": "RHONDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-22",
"last_updated": "2016-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "2689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Noble, OK
- Jessica Kali Dunlap
- Theodore Anthony Esswein
- Kevin Jay Faris
- James Donald Gilliam
- Clifford John Gilson
- Angel Haggard
- Harold H Haralson II
- Lillie Faye Henderson
- High Cedar Res. Care
- High Cedar Residential Care
All providers in Noble, OK · Clinical Social Worker in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.