NPI 1225566375 · live from the CMS NPI Registry
Angela Bauer
Social Worker, Clinical in Tulsa, OK. National Provider Identifier 1225566375, active.
NPI record
| NPI | 1225566375 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 5512 S Lewis Ave Ste 8b, Tulsa, OK 74105 |
| Practice phone | 539-777-1158 |
| Mailing address | 5427 E 110th Pl, Tulsa, OK 74137 |
| Enumerated | June 1, 2017 |
| Last updated | March 17, 2018 |
| Authorized official | Shayna Emshoff, Credentialing |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 5212 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.