Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mandi G Payne, LCSW

Individual provider Clinical Social Worker · NPI 1245099415

Mandi G Payne, LCSW is a Clinical Social Worker in Yukon, Oklahoma. Qualified in 2020, 6 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
6
Licensed in
OK
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3432 Pagoda Pead Dr
Yukon, OK 73099-3653
Phone: (682) 702-1526
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4401 S Western Ave, Oklahoma City, OK 73109-3413 — (405) 231-1470

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 20706 (OK)

Record details

NPI number1245099415
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 18, 2024
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024
Mailing address3432 Pagoda Pead Dr, Yukon, OK 73099-3653

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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