NPI 1013388875 · live from the CMS NPI Registry
Teresa Baker, LCSW
Social Worker, Clinical in Tulsa, OK. National Provider Identifier 1013388875, active.
NPI record
| NPI | 1013388875 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 4835 S Fulton Ave Ste 107, Tulsa, OK 74135 |
| Practice phone | 918-712-8800 |
| Mailing address | 401 S 42nd West Ave, Tulsa, OK 74127 |
| Enumerated | October 19, 2015 |
| Last updated | October 19, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 5026 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.