Individual provider Active NPI

Susan E Oxford, LCSW

  • Social Worker
  • Tyler, TX
National Provider Identifier
1649623646
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
59144 Issued in TX
Practice address
13495 Frankston Highway
Tyler, TX 75702
Phone
(903) 231-3620
NPI assigned
Jul 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 59144 TX Primary

Addresses

Primary practice location

13495 Frankston Highway
Tyler, TX 75702

Mailing address

PO Box 649
Ben Wheeler
Ben Wheeler, TX 75754-0649
Phone (903) 714-4761

Other practice location 1

1691 Farm to Market 858
Ben Wheeler, TX 75754
Phone (903) 714-4761

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

LicenseStateTypeSpecialty
59144TXMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1649623646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649",
            "address_2": "BEN WHEELER",
            "city": "BEN WHEELER",
            "state": "TX",
            "postal_code": "757540649",
            "telephone_number": "903-714-4761",
            "fax_number": "903-833-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13495 FRANKSTON HIGHWAY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75702",
            "telephone_number": "903-231-3620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1691 Farm to Market 858",
            "address_purpose": "LOCATION",
            "city": "Ben Wheeler",
            "state": "TX",
            "postal_code": "75754",
            "country_code": "US",
            "telephone_number": "903-714-4761",
            "fax_number": "903-833-2223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OXFORD",
        "first_name": "SUSAN",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "59144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.