Active NPI
Megan Marie Secrest, MSW, LCSW
- Clinical Social Worker
- Oklahoma City, OK
National Provider Identifier
1376993097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6675
- Practice address
- 4130 N Lincoln Blvd
Oklahoma City, OK 73105-5209 - Phone
- (405) 267-3260
- NPI assigned
- Jun 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5538-P | OK | |
| Clinical Social Worker | 1041C0700X | 6675 | OK | Primary |
Addresses
Primary practice location
4130 N Lincoln Blvd
Oklahoma City, OK 73105-5209
Mailing address
4130 N Lincoln Blvd
Oklahoma City, OK 73105-5209
Phone (405) 267-3260
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 |
|---|---|---|---|
| 5538-P | OK | MD | Clinical Social Worker |
| 6675 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gift of Grit Counseling, LLC | Clinical | Current | Accepting new patients |
| Coraspire Mental Health and Wellness Center, Inc. | Past | Accepting new patients |
Locations
416 W 15th St
Ste 400A
Edmond, OK 73013
Phone (405) 225-0047
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Oklahoma City, OK
- NPI 1558016824
-
- Community/Behavioral Health Agency
- Edmond, OK
- NPI 1588041560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577750400000",
"number": "1376993097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4130 N LINCOLN BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731055209",
"telephone_number": "405-267-3260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 N LINCOLN BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731055209",
"telephone_number": "405-267-3260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SECREST",
"first_name": "MEGAN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-14",
"last_updated": "2019-12-31",
"certification_date": "2019-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "5538-P",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "6675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
- Joseph Paul Sebourn, DDS
- Shelby Nicole Sebring
- Jamie Lynae Seckel, PTA
- Second Act Counseling, Coaching and Consulting, LLC
- Second Wind Recovery and Support Services PLLC
- Secret of the Heart Transitional Living
- Lauren Michelle Secrist, DNP, APRN, PMHNP-BC
- Mary Anne Secrist, MS, RN, CNS
- Madeline Jessop Sedgwick
- Evelyn Sedivy, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.