Active NPI
Arun Joshua Mathew, LCSW
- Clinical Social Worker
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3711
- 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, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3711 | OK | MD | Clinical Social Worker |
| 54648 | TX | MD | Pharmacist |
| 2942 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychplus | Current | Accepting new patients | |
| Assurasource LTD | Clinical | Current | Accepting new patients |
| BMSC TX LLC | Clinical | Current | Accepting new patients |
| Millennium Medical Services, L.L.C. | Clinical | Current | Accepting new patients |
| Oasis Counseling Center,Inc. | Past | 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.
-
- Psychiatry Physician
- Oklahoma City, OK
- NPI 1215516950
-
- Clinical Social Worker
- Plano, TX
- NPI 1194746016
-
- Community/Behavioral Health Agency
- Oklahoma City, OK
- NPI 1184964082
-
- Community/Behavioral Health Agency
- Oklahoma City, OK
- NPI 1679699169
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.