Individual provider Active NPI

Mary Jo Standard, MSW

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1891115093
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1536 Issued in OK
Practice address
3140 W Britton Rd
Ste 200
Oklahoma City, OK 73120-2074
Phone
(405) 376-4654
Fax
(405) 872-0050
NPI assigned
Apr 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2014

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 1536 OK Primary

Addresses

Primary practice location

3140 W Britton Rd
Ste 200
Oklahoma City, OK 73120-2074

Mailing address

PO Box 1729
Norman, OK 73070-1729
Phone (405) 329-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1398470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1891115093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1729",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730701729",
            "telephone_number": "405-329-7300",
            "fax_number": "405-364-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 W BRITTON RD",
            "address_2": "STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731202074",
            "telephone_number": "405-376-4654",
            "fax_number": "405-872-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDARD",
        "first_name": "MARY",
        "middle_name": "JO",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-26",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "1536",
            "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 May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.