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GREENSIDE PRAIRIES LLC
NPI 1770466682
Social Worker - Clinical in Edmond, OK

Active since July 28, 2025
3104 NW 184TH ST, EDMOND, OK 73012(405) 265-6142 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Greenside Prairies Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREENSIDE PRAIRIES LLC (NPI 1770466682) is a healthcare organization registered as a clinical in Edmond, Oklahoma and active in the NPI registry since July 2025. The organization lists Adam Daniel, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1770466682
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameGREENSIDE PRAIRIES LLC
Location Address3104 NW 184TH STEdmond, OK 73012-9650
Mailing Address3104 Nw 184th StEdmond, OK 73012-9650
Phone(405) 265-6142
Organization SubpartNo
Authorized OfficialAdam DanielOwner/operator · (405) 265-6142
Enumeration DateJuly 28, 2025
NPPES CertifiedJuly 28, 2025
✔ NPI 1770466682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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.
3104 NW 184TH ST, Edmond, OK 73012
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Greenside Prairies Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Greenside Prairies LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Adam Daniel, LCSW
Clinical Social Worker
NPI 1992374920
1901 W 33RD ST STE A2
Edmond, OK 73013
(405) 265-6142
✔ PECOS✔ Accepts Medicare4.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Greenside Prairies LLC's NPI number?

The NPI number for Greenside Prairies LLC is 1770466682. It was assigned to this organization in the NPPES registry on July 28, 2025.

Where is Greenside Prairies LLC located?

Greenside Prairies LLC is located at 3104 NW 184th St, Edmond, OK 73012. The listed phone number is (405) 265-6142.

What is Greenside Prairies LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Greenside Prairies LLC enrolled in Medicare?

Yes. Greenside Prairies LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Greenside Prairies LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Greenside Prairies LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Greenside Prairies LLC was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.