Individual provider Active NPI

Elizabeth Ann Pidcock, MSW LCSW

  • Clinical Social Worker
  • Enid, OK
National Provider Identifier
1457385825
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1371 Issued in OK
Practice address
529 N Grand
Enid, OK 73701
Phone
(508) 234-8880
Fax
(580) 234-8891
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1371 OK Primary

Addresses

Primary practice location

529 N Grand
Enid, OK 73701

Mailing address

529 N Grand
Enid, OK 73701
Phone (508) 234-8880

Other identifiers 1

IdentifierTypeStateIssuer
200026330AMedicaidOK

Other names 1

  • Elizabeth Ann Zarrella Former name

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
I20061219000417 OK Practitioner - Clinical Social Worker 0042219131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millennium Medical Services, LLCGroup PAC ID 6204730856, 25 clinicians

Practice addresses (Care Compare)

508 Man O War CT
Edmond, OK 73025-9512
Phone (405) 623-0509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1371OKMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Medical Services, L.L.C. Clinical CurrentSince Apr 1, 2007 Accepting new patients
Choices Institute Past Accepting new patients
Millennium Medical Services, L.L.C. Clinical PastSince Aug 18, 2019 Accepting new patients
Millennium Community Services LLC PastSince Aug 18, 2019 Accepting new patients
Choices Institute Past Accepting new patients

Locations

448 36th Ave NW
Ste 101
Norman, OK 73072
Phone (405) 623-1624

Organizations & group practices 5

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457385825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 N GRAND",
            "city": "ENID",
            "state": "OK",
            "postal_code": "73701",
            "telephone_number": "508-234-8880",
            "fax_number": "580-234-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 N GRAND",
            "city": "ENID",
            "state": "OK",
            "postal_code": "73701",
            "telephone_number": "508-234-8880",
            "fax_number": "580-234-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIDCOCK",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "1371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200026330A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "ZARRELLA",
            "middle_name": "ANN",
            "credential": "MSW LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.