NPI 1508151796 · live from the CMS NPI Registry
Matthew Allen Ackenhausen
Social Worker, Clinical in Tulsa, OK. National Provider Identifier 1508151796, active.
NPI record
| NPI | 1508151796 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 3031 E 84th St, Tulsa, OK 74137 |
| Practice phone | 918-282-3654 |
| Enumerated | June 15, 2011 |
| Last updated | January 16, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.