CHEYENNE GOODWIN (NPI# 1730249699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730249699 |
| Entity Type | Individual |
| Full Name | CHEYENNE GOODWIN |
| Credential | MSW |
| Practice Address |
4911 N Portland Ave Oklahoma City OK 73112-6171 |
| Mailing Address |
619 N Bickford Ave El Reno OK 73036-1911 |
| Practice Telephone | 4056053093 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2010-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
4911 N PORTLAND AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-6171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093755647 | Marla Mercer Cole | Counselor | 4911 N Portland Ave, Suite 105, Oklahoma City, OK 73112-6170 | 2006-06-08 |
| 1346848470 | Annamarie Glenda Jewell Spencer | Counselor | 4911 N Portland Ave, Oklahoma City, OK 73112-6171 | 2020-10-12 |
| 1073130910 | Amy Sowell | Counselor | 4911 N Portland Ave, Oklahoma City, OK 73112-6171 | 2020-06-26 |
| 1528550811 | Crystal Marie Jones | Case Manager/Care Coordinator | 4911 N Portland Ave, Oklahoma City, OK 73112-6171 | 2018-06-01 |
| 1023511516 | Essence Campbell | Counselor | 4911 N Portland Ave, Oklahoma City, OK 73112-6171 | 2018-03-12 |
| 1144729179 | Correna Stewart-walker | Counselor | 4911 N Portland Ave, Oklahoma City, OK 73112-6171 | 2018-02-05 |
| 1700317732 | Cheryl Baierl | Counselor | 4911 N Portland Ave, Oklahoma City, OK 73112-6171 | 2017-03-22 |
| 1568908424 | Kimberly Payton | Case Manager/Care Coordinator | 4911 N Portland Ave, Oklahoma City, OK 73112-6171 | 2017-01-16 |
| 1306389309 | Brittany Williamson | Case Manager/Care Coordinator | 4911 N Portland Ave, Oklahoma City, OK 73112-6171 | 2016-11-22 |
| 1083168918 | Ashley Wisdom | Counselor | 4911 N Portland Ave, Oklahoma City, OK 73112-6171 | 2016-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700411170 | Braden Bowles | Social Worker | 1841 Exchange Ave, Oklahoma City, OK 73108-3022 | 2020-03-06 |
| 1619501061 | Terry Snow | Social Worker | 600 Sw 134th St, Oklahoma City, OK 73170-7307 | 2020-02-25 |
| 1104459395 | Mary Madonna LLC | Social Worker | 5808 Nw 109th St, Oklahoma City, OK 73162-5836 | 2020-02-17 |
| 1811558679 | Sydney Concha | Social Worker | 5131 N Classen Blvd # 110, Oklahoma City, OK 73118-5258 | 2019-06-24 |
| 1609377753 | Shundrika Scott | Social Worker | 620 Nw 120th St, Oklahoma City, OK 73114-8309 | 2018-02-23 |
| 1821597386 | Meditelecare of Oklahoma, LLC | Social Worker | 1833 S Morgan Rd, Oklahoma City, OK 73128-7004 | 2018-02-09 |
| 1134628076 | Karyll V. Honeycutt | Social Worker | 2737 Nw 140th St Apt 903, Oklahoma City, OK 73134-6177 | 2018-02-06 |
| 1417455122 | Natalie Biddinger Haymaker | Social Worker | 2924 Huntleigh Dr, Oklahoma City, OK 73120-2503 | 2018-01-28 |
| 1336654573 | Bright Transitions, LLC | Social Worker | 4416 N Western Ave Ste 201, Oklahoma City, OK 73118-5256 | 2017-12-11 |
| 1427568096 | Jennilee Flores | Social Worker | 5350 S Western Ave Ste 709, Oklahoma City, OK 73109-4537 | 2017-10-09 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.