| Maranda Greenfield, Lcsw Pllc | |
|
1809 Oakmeadows Dr Norman OK 73071-1254 | |
| (405) 863-1194 | |
| Not Available |
| Full Name | Maranda Greenfield, Lcsw Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1809 Oakmeadows Dr, Norman, Oklahoma |
| Authorized Official Name and Position | Maranda Jane Greenfield (OWNER/THERAPIST) |
| Authorized Official Contact | 4058631194 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maranda Greenfield, Lcsw Pllc 1809 Oakmeadows Dr Norman OK 73071-1254 Ph: (405) 863-1194 | Maranda Greenfield, Lcsw Pllc 1809 Oakmeadows Dr Norman OK 73071-1254 Ph: (405) 863-1194 |
| NPI Number | 1003168634 |
|---|---|
| Provider Enumeration Date | 10/05/2012 |
| Last Update Date | 10/05/2012 |
| Medicare PECOS PAC ID | 3779735964 |
|---|---|
| Medicare Enrollment ID | O20121217000104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003168634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3425 (Oklahoma) | Primary |
| Provider Name | Maranda J Greenfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326260563 PECOS PAC ID: 1153451166 Enrollment ID: I20100617000074 |
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