Individual provider Active NPI

Rebecca E Stanford, L.C.S.W.

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1689612863
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2810 Issued in OK
Practice address
5100 N Brookline Ave
Suite 950
Oklahoma City, OK 73112-3623
Phone
(405) 604-3170
Fax
(405) 948-2745
NPI assigned
Jun 2, 2006
Last updated
Mar 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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 2810 OK Primary

Addresses

Primary practice location

5100 N Brookline Ave
Suite 950
Oklahoma City, OK 73112-3623

Mailing address

5300 N Independence Ave
Suite 280
Oklahoma City, OK 73112-5556
Phone (405) 604-3170

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
I20040113000477 OK Practitioner - Clinical Social Worker 5496655516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

3000 United Founders Blvd
Suite 142
Oklahoma City, OK 73112-4342
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Dec 9, 2024 Accepting new patients
Ou Health Partners, Inc CurrentSince Jan 16, 2023 Accepting new patients
Ou Health Partners, Inc CurrentSince Jan 16, 2023 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Jul 1, 2015 Accepting new patients

Locations

3000 United Founders Blvd
Ste 142
Oklahoma City, OK 73112
Phone (405) 347-7772

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

5100 N Brookline Ave
Ste 900
Oklahoma City, OK 73112
Phone (405) 604-3170

5100 N Brookline Ave
Ste 950
Oklahoma City, OK 73112
Phone (405) 717-9840

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

Organizations & group practices 4

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1689612863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE",
            "address_2": "SUITE 280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125556",
            "telephone_number": "405-604-3170",
            "fax_number": "405-948-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N BROOKLINE AVE",
            "address_2": "SUITE 950",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731123623",
            "telephone_number": "405-604-3170",
            "fax_number": "405-948-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "REBECCA",
        "middle_name": "E",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "2810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.