Individual provider Active NPI

Maranda Jane Greenfield, LCSW

  • Clinical Social Worker
  • Norman, OK
National Provider Identifier
1326260563
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3425 Issued in OK
Practice address
330 W Gray St
Suite 402
Norman, OK 73069-7129
Phone
(405) 863-1194
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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 3425 OK Primary

Addresses

Primary practice location

330 W Gray St
Suite 402
Norman, OK 73069-7129

Mailing address

1809 Oakmeadows Dr
Norman, OK 73071-1254
Phone (405) 863-1194

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
I20100617000074 OK Practitioner - Clinical Social Worker 1153451166 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3425OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Maranda Greenfield, LCSW PLLC CurrentSince Oct 8, 2012 Accepting new patients

Locations

330 W Gray St
Ste 402
Norman, OK 73069
Phone (405) 863-1194

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1326260563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 OAKMEADOWS DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730711254",
            "telephone_number": "405-863-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W GRAY ST",
            "address_2": "SUITE 402",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730697129",
            "telephone_number": "405-863-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENFIELD",
        "first_name": "MARANDA",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.