NPI 1639565443 · live from the CMS NPI Registry
Amie Koehn LCSW LLC
Social Worker, Clinical in Tulsa, OK. National Provider Identifier 1639565443, active.
NPI record
| NPI | 1639565443 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 3010 S Harvard Ave, Suite 110, Tulsa, OK 74114 |
| Practice phone | 918-624-9088 |
| Enumerated | April 8, 2015 |
| Last updated | April 8, 2015 |
| Authorized official | Amie Koehn, Sole Member/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 4170 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.