Individual provider Active NPI

Arun Joshua Mathew, LCSW

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1821265133
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3711 Issued in OK
Practice address
4911 N Portland Ave
Suite 111
Oklahoma City, OK 73112-6171
Phone
(405) 605-3093
Fax
(405) 601-5682
NPI assigned
May 15, 2008
Last updated
Apr 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2942 OK
Clinical Social Worker 1041C0700X 3711 OK Primary

Addresses

Primary practice location

4911 N Portland Ave
Suite 111
Oklahoma City, OK 73112-6171

Mailing address

6054 W Britton Rd Apt BB
Oklahoma City, OK 73132-2522
Phone (405) 227-9122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110907001521 OK Practitioner - Clinical Social Worker 2860662558 Reassigns benefits to 2 organizations
I20180509002897 TX Practitioner - Clinical Social Worker 2860662558 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Medical Services, LLCGroup PAC ID 6204730856, 25 clinicians

Practice addresses (Care Compare)

508 Man O War CT
Edmond, OK 73025-9512
Phone (405) 623-0509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3711OKMDClinical Social Worker
54648TXMDPharmacist
2942OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychplus CurrentSince Jul 1, 2024 Accepting new patients
Assurasource LTD Clinical CurrentSince Jun 25, 2018 Accepting new patients
BMSC TX LLC Clinical CurrentSince Jul 1, 2018 Accepting new patients
Millennium Medical Services, L.L.C. Clinical CurrentSince Jul 8, 2011 Accepting new patients
Oasis Counseling Center,Inc. PastSince Dec 1, 2012 Accepting new patients
Oasis Counseling Center, Inc Past Accepting new patients

Locations

10204 Bode St
Ste C
Plainfield, IL 60585
Phone (630) 844-7077

448 36th Ave NW
Ste 101
Norman, OK 73072
Phone (405) 623-1624

4220 N Classen Blvd
Ste F
Oklahoma City, OK 73118
Phone (405) 259-2333

400 N Allen Dr
Ste 204
Allen, TX 75013

Organizations & group practices 7

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": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1821265133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6054 W BRITTON RD APT BB",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731322522",
            "telephone_number": "405-227-9122",
            "fax_number": "405-942-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 N PORTLAND AVE",
            "address_2": "SUITE 111",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731126171",
            "telephone_number": "405-605-3093",
            "fax_number": "405-601-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "ARUN",
        "middle_name": "JOSHUA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OK",
            "license": "2942",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.