Individual provider Active NPI

Meadow M Hazelhoff, LCSW

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1730691338
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
6051 N Brookline Ave Ste 112
Oklahoma City, OK 73112-4286
Phone
(405) 810-0054
NPI assigned
Nov 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 1

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

Addresses

Primary practice location

6051 N Brookline Ave Ste 112
Oklahoma City, OK 73112-4286

Mailing address

6051 N Brookline Ave Ste 112
Oklahoma City, OK 73112-4286
Phone (405) 810-0054

Other practice location 1

9524 Conners Way
McLoud, OK 74851-8668
Phone (405) 219-2271

Other identifiers 1

IdentifierTypeStateIssuer
200738420AMedicaidOK

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
I20200701000963 OK Practitioner - Clinical Social Worker 7911320478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Central Medical and Resource Center IncGroup PAC ID 9032200084, 17 clinicians

Practice addresses (Care Compare)

216 S Main St
Lindsay, OK 73052-5634
Phone (405) 756-1414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Medical and Resource Center Inc. Single Specialty CurrentSince May 3, 2025 Accepting new patients

Locations

2222 W Iowa Ave
Chickasha, OK 73018

216 S Main St
Lindsay, OK 73052
Phone (405) 756-4303

217 S Main St
Lindsay, OK 73052
Phone (405) 956-3356

102 S Main St
Lindsay, OK 73052

504 Williams
Maysville, OK 73057
Phone (405) 867-4404

109 E Kirby St
Washington, OK 73093
Phone (405) 288-1057

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1730691338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 N BROOKLINE AVE STE 112",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124286",
            "telephone_number": "405-810-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 N BROOKLINE AVE STE 112",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124286",
            "telephone_number": "405-810-0054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9524 Conners Way",
            "address_purpose": "LOCATION",
            "city": "McLoud",
            "state": "OK",
            "postal_code": "748518668",
            "country_code": "US",
            "telephone_number": "405-219-2271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAZELHOFF",
        "first_name": "MEADOW",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-04",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200738420A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.