Individual provider Active NPI

Daeton Paulette Jobe, LCSW

  • Clinical Social Worker
  • Midwest City, OK
National Provider Identifier
1831400118
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3944 Issued in OK
Practice address
316 S Midwest Blvd
Midwest City, OK 73110-4642
Phone
(405) 733-5437
Fax
(405) 732-7741
NPI assigned
Jul 1, 2010
Last updated
Oct 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 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 3944 OK Primary

Addresses

Primary practice location

316 S Midwest Blvd
Midwest City, OK 73110-4642

Mailing address

5480 Main St.
Suite 104
Del City, OK 73115-6004
Phone (405) 722-7440

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
I20230914002632 OK Order and Referring Only - Clinical Social Worker 9830493725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3944OKMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-del Youth & Family Center, Inc. Past Accepting new patients
Mid-del Youth and Family Center Past Accepting new patients

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, 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": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1831400118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 MAIN ST.",
            "address_2": "SUITE 104",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731156004",
            "telephone_number": "405-722-7440",
            "fax_number": "405-601-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S MIDWEST BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104642",
            "telephone_number": "405-733-5437",
            "fax_number": "405-732-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOBE",
        "first_name": "DAETON",
        "middle_name": "PAULETTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

Verify at the official NPI Registry.