Active NPI
Todd Clevenger, LMSW
- Social Worker
- Norman, OK
National Provider Identifier
1427360296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 4597
- Practice address
- 4201 24TH Ave NW
Norman, OK 73069 - Phone
- (405) 310-2794
- NPI assigned
- Jul 9, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 7776 | KS | |
| Social Worker | 104100000X | 4597 | OK | Primary |
Addresses
Primary practice location
4201 24TH Ave NW
Norman, OK 73069
Mailing address
2932 SW 126TH St
Oklahoma City, OK 73170-2042
Phone (316) 461-6604
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7776 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401667200000",
"number": "1427360296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2932 SW 126TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731702042",
"telephone_number": "316-461-6604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 24TH AVE NW",
"city": "NORMAN",
"state": "OK",
"postal_code": "73069",
"telephone_number": "405-310-2794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEVENGER",
"first_name": "TODD",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-09",
"last_updated": "2014-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "7776",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OK",
"license": "4597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.