Individual provider Active NPI

Susy P Villegas, PH.D., LCSW

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1396136594
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2497 Issued in OK
Practice address
420 SW 10TH St
Oklahoma City, OK 73109-5610
Phone
(405) 236-0701
NPI assigned
Feb 9, 2015
Last updated
Feb 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 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 2497 OK Primary

Addresses

Primary practice location

420 SW 10TH St
Oklahoma City, OK 73109-5610

Mailing address

420 SW 10TH St
Oklahoma City, OK 73109-5610
Phone (405) 236-0701

Other names 1

  • Susy P Villegas de Chaverri Other name

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)
Not enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1396136594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SW 10TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731095610",
            "telephone_number": "405-236-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 SW 10TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731095610",
            "telephone_number": "405-236-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLEGAS",
        "first_name": "SUSY",
        "middle_name": "P",
        "credential": "PH.D., LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "2497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSY",
            "last_name": "VILLEGAS DE CHAVERRI",
            "middle_name": "P",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.