Organization Active NPI

Mandy McHugh LCSW PLLC

  • Clinical Social Worker
  • Bethany, OK
National Provider Identifier
1962730713
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3556 Issued in OK
Legal business name
MANDY MCHUGH LCSW PLLC
Practice address
6666 NW 39TH Expy
Bethany, OK 73008-2760
Phone
(405) 603-4802
NPI assigned
Dec 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Authorized official

Name
Mandy McHugh, LCSW
Title
Sole Member
Phone
(405) 603-4802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 3556 OK Primary

Addresses

Primary practice location

6666 NW 39TH Expy
Bethany, OK 73008-2760

Mailing address

PO Box 1729
Norman, OK 73070-1729
Phone (405) 809-4222

Other identifiers 1

IdentifierTypeStateIssuer
200270190AMedicaidOK

National Provider Directory

National Provider Directory

Locations

6666 NW 39th Expy
Bethany, OK 73008
Phone (405) 603-3265

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1962730713",
    "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": "405-809-4222",
            "fax_number": "405-364-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6666 NW 39TH EXPY",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730082760",
            "telephone_number": "405-603-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDY MCHUGH LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-04",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "MCHUGH",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "405-603-4802",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200270190A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.