Individual provider Active NPI

Justine M Dowell, LCSW

  • Clinical Social Worker
  • Edmond, OK
National Provider Identifier
1710244777
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20389 Issued in OK
Practice address
407 W Covell Rd Unit 30234
Edmond, OK 73003-2203
Phone
(405) 367-8045
NPI assigned
Apr 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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 20389 OK Primary

Addresses

Primary practice location

407 W Covell Rd Unit 30234
Edmond, OK 73003-2203

Mailing address

407 W Covell Rd Unit 30234
Edmond, OK 73003-2203
Phone (405) 367-8045

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
I20251211001486 OK Practitioner - Clinical Social Worker 7810481371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Therapy Solutions of Oklahoma, LLCGroup PAC ID 2264808211, 22 clinicians

Practice addresses (Care Compare)

620 NW 5TH St D
Main Office
Moore, OK 73160-3947
Phone (405) 208-4469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20389OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
DO Well Counseling and Consultation LLC Clinical CurrentSince Sep 21, 2025 Accepting new patients
Integrated Therapy Solutions of Oklahoma, LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

700 W 15th St
Edmond, OK 73013

620 NW 5th St
Ste D
Moore, OK 73160

Organizations & group practices 2

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": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1710244777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W COVELL RD UNIT 30234",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730032203",
            "telephone_number": "405-367-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W COVELL RD UNIT 30234",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730032203",
            "telephone_number": "405-367-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWELL",
        "first_name": "JUSTINE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "20389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.