Jaree Michelle Grant, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

2510 Chickasaw Blvd.
Chickasaw Nation Ardmore Health Clinic
Ardmore, OK 73401

Phone

(580) 226-8181

Fax

(580) 421-6283

NPI assigned

Sep 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oklahoma Integrated Care PLCGroup PAC ID 5193113751, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jaree.grant.1@30472.direct.athenahealth.com

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.

• Oklahoma Integrated Care PLC

  • Multi-Specialty Clinic/Center
  • Ardmore, OK
  • NPI 1316540495
  Medicare reassignment Care Compare group NPD
• Red River Counseling Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hugo, OK
  • NPI 1003060450
  Medicare reassignment NPD
• Four Seasons Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • Hugo, OK
  • NPI 1467815464
  NPD (past)

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1427428630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N 5TH ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747434005",
            "telephone_number": "580-326-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 CHICKASAW BLVD.",
            "address_2": "CHICKASAW NATION ARDMORE HEALTH CLINIC",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "73401",
            "telephone_number": "580-226-8181",
            "fax_number": "580-421-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JAREE",
        "middle_name": "MICHELLE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audra M Gordon, BACHELORS,CM
• Joshua Paul Gordon, D.O.
• Madeline Gordon
• Dorothy Gourley, D.PH.
• Mackenzie Graham
• Jordyn Alexis Grant, CRNA
• Lee Michael Grant, D.C.
• Maurice Grant
• Ron L Graves, D.D.S.
• Kimberly Gray

• Social Worker in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.