Individual provider Active NPI

Janice L Birdsong, MSW, LCSW

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1477710325
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4292 Issued in OK
Practice address
4911 N Portland Ave Ste 111
Oklahoma City, OK 73112-6170
Phone
(405) 605-3093
Fax
(405) 601-5682
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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 4292 OK Primary

Addresses

Primary practice location

4911 N Portland Ave Ste 111
Oklahoma City, OK 73112-6170

Mailing address

PO Box 407
Miami, OK 74354
Phone (405) 605-3093

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
I20130222000039 OK Practitioner - Clinical Social Worker 1456506518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Oasis Counseling Center,Inc.Group PAC ID 7315110939, 4 clinicians

Practice addresses (Care Compare)

2801 Parklawn Dr
Suite 303
Midwest City, OK 73110-4230
Phone (405) 610-3644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4292OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Counseling Center,Inc. CurrentSince May 15, 2016 Accepting new patients
Oasis Counseling Center, Inc. Past Accepting new patients
Oasis Counseling Center, Inc PastSince Dec 1, 2012 Accepting new patients

Locations

351 N Air Depot Blvd
Ste M
Oklahoma City, OK 73110
Phone (405) 605-3093

4911 N Portland Ave
Ste 111
Oklahoma City, OK 73112
Phone (405) 603-3093

2801 Parklawn Dr
Ste 303
Oklahoma City, OK 73110
Phone (405) 401-6660

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1477710325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "74354",
            "telephone_number": "405-605-3093",
            "fax_number": "405-601-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 N PORTLAND AVE STE 111",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731126170",
            "telephone_number": "405-605-3093",
            "fax_number": "405-601-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRDSONG",
        "first_name": "JANICE",
        "middle_name": "L",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "4292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.