Organization Active NPI

Sharon B. Varnum, LCSW, LLC

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1417277690
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1416 Issued in OK
Legal business name
SHARON B. VARNUM, LCSW, LLC
Practice address
5500 N Western Ave
Oklahoma City, OK 73118-4019
Phone
(405) 843-3700
Fax
(405) 842-1963
NPI assigned
Jun 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sharon Brown VarnumNPI 1609833300
Title
Owner
Phone
(405) 843-3700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 1416 OK Primary

Addresses

Primary practice location

5500 N Western Ave
Oklahoma City, OK 73118-4019

Mailing address

1708 Drury LN
Nichols Hills, OK 73116-5310
Phone (405) 843-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100727000059 OK Part B Supplier - Clinic/Group Practice 4981737004 Receives reassigned benefits from 1 practitioner
Practice locations: Nichols Hills, OK

National Provider Directory

National Provider Directory

Locations

5500 N Western Ave
Ste 157
Oklahoma City, OK 73118
Phone (405) 510-0850

5500 N Western Ave
Oklahoma City, OK 73118
Phone (405) 255-1891

3037 NW 63rd St
Ste W100
Oklahoma City, OK 73116
Phone (405) 843-3700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1417277690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 DRURY LN",
            "city": "NICHOLS HILLS",
            "state": "OK",
            "postal_code": "731165310",
            "telephone_number": "405-843-3700",
            "fax_number": "405-842-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 N WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184019",
            "telephone_number": "405-843-3700",
            "fax_number": "405-842-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON B. VARNUM, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "VARNUM",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "BROWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-843-3700"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "1416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.