Organization Active NPI

Jennifer Childers LCSW Counseling LLC

  • Clinical Social Worker
  • Stillwater, OK
National Provider Identifier
1689087603
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3838 Issued in OK
Legal business name
JENNIFER CHILDERS LCSW COUNSELING LLC
Practice address
2324 W 7TH PL
Suite 7
Stillwater, OK 74074-1927
Phone
(405) 269-4331
Fax
(405) 533-2086
NPI assigned
Jun 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Authorized official

Name
Mrs. Jennifer P Childers, L.C.S.W.
Title
Director
Phone
(405) 269-4331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 3838 OK Primary

Addresses

Primary practice location

2324 W 7TH PL
Suite 7
Stillwater, OK 74074-1927

Mailing address

2324 W 7TH PL
Suite 7
Stillwater, OK 74074-1927
Phone (405) 269-4331

National Provider Directory

National Provider Directory

Locations

2324 W 7th Pl
Ste 2
Stillwater, OK 74074
Phone (405) 533-2085

2324 W 7th Pl
Ste 7
Stillwater, OK 74074
Phone (405) 269-4331

NPI Registry JSON

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1689087603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 W 7TH PL",
            "address_2": "SUITE 7",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740741927",
            "telephone_number": "405-269-4331",
            "fax_number": "405-533-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 W 7TH PL",
            "address_2": "SUITE 7",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740741927",
            "telephone_number": "405-269-4331",
            "fax_number": "405-533-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER CHILDERS LCSW COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "CHILDERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-269-4331",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.