Individual provider Active NPI

Rebecca L Jones, LCSW

  • Clinical Social Worker
  • Sapulpa, OK
National Provider Identifier
1346375623
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2972 Issued in OK
Practice address
3614 W 109TH St S
Sapulpa, OK 74010
Phone
(918) 296-0099
Fax
(918) 296-0099
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2972 OK Primary

Addresses

Primary practice location

3614 W 109TH St S
Sapulpa, OK 74010

Mailing address

3614 W 109TH St S
Sapulpa, OK 74010
Phone (918) 296-0099

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
I20110318000105 OK Practitioner - Clinical Social Worker 0143403808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Medical Services, LLCGroup PAC ID 6204730856, 25 clinicians

Practice addresses (Care Compare)

508 Man O War CT
Edmond, OK 73025-9512
Phone (405) 623-0509

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2972OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Medical Services, L.L.C. Clinical CurrentSince Nov 7, 2010 Accepting new patients

Locations

448 36th Ave NW
Ste 101
Norman, OK 73072
Phone (405) 623-1624

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346375623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 W 109TH ST S",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "74010",
            "telephone_number": "918-296-0099",
            "fax_number": "918-296-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 W 109TH ST S",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "74010",
            "telephone_number": "918-296-0099",
            "fax_number": "918-296-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "REBECCA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "2972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sapulpa, OK

Sources for this page

Verify at the official NPI Registry.