Individual provider Active NPI

Brittanie Jeane Groesbeck, L.C.S.W

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1437297199
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2952 Issued in OK
Practice address
1100 NW 14TH St
Oklahoma City, OK 73106-4450
Phone
(405) 528-7721
NPI assigned
Feb 2, 2007
Last updated
Mar 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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 2952 OK Primary

Addresses

Primary practice location

1100 NW 14TH St
Oklahoma City, OK 73106-4450

Mailing address

1100 NW 14TH St
Oklahoma City, OK 73106-4450
Phone (405) 528-7721

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20121106000589 OK Practitioner - Clinical Social Worker 8527219260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2952OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunbeam Family Services CurrentSince May 19, 2024 Accepting new patients

Locations

1100 NW 14th St
Oklahoma City, OK 73106
Phone (405) 528-7721

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1437297199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NW 14TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731064450",
            "telephone_number": "405-528-7721",
            "fax_number": "405-609-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NW 14TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731064450",
            "telephone_number": "405-528-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROESBECK",
        "first_name": "BRITTANIE",
        "middle_name": "JEANE",
        "credential": "L.C.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "2952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.