Active NPI
Portia Goldsmith-Nickelberry
- Clinical Social Worker
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4889
- Practice address
- 2309 NW 118TH St
Oklahoma City, OK 73120-7425 - Phone
- (405) 370-8964
- NPI assigned
- Jul 1, 2010
- Last updated
- Jul 24, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4889 | OK | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
2309 NW 118TH St
Oklahoma City, OK 73120-7425
Mailing address
2309 NW 118TH St
Oklahoma City, OK 73120-7425
Phone (405) 608-4198
Other practice location 1
906 NW 92ND St
Oklahoma City, OK 73114-2704
Phone (405) 848-2171
Other practice location 2
2130 SW 59th St
Oklahoma City, OK 73119-7025
Phone (405) 303-7555
Other practice location 3
1918 NE 23rd St
Oklahoma City, OK 73111-3328
Phone (405) 453-8000
Other practice location 4
7521 SE 15th St
Midwest City, OK 73110-5425
Phone (405) 453-8004
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2309 NW 118TH St
Oklahoma City, OK 73120-7425
Phone (405) 370-8964
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Edmond, OK
- NPI 1134510795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1730490079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2309 NW 118TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731207425",
"telephone_number": "405-608-4198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2309 NW 118TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731207425",
"telephone_number": "405-370-8964"
}
],
"practiceLocations": [
{
"address_1": "906 NW 92ND ST",
"address_purpose": "LOCATION",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731142704",
"country_code": "US",
"telephone_number": "405-848-2171",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2130 SW 59th St",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731197025",
"country_code": "US",
"telephone_number": "405-303-7555",
"fax_number": "405-561-5615",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1918 NE 23rd St",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731113328",
"country_code": "US",
"telephone_number": "405-453-8000",
"fax_number": "405-561-4984",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7521 SE 15th St",
"address_purpose": "LOCATION",
"city": "Midwest City",
"state": "OK",
"postal_code": "731105425",
"country_code": "US",
"telephone_number": "405-453-8004",
"fax_number": "405-561-4857",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDSMITH-NICKELBERRY",
"first_name": "PORTIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-01",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "4889",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.