NPI 1669703369 · live from the CMS NPI Registry
Amy Dwerlkotte
Social Worker, Clinical in Tulsa, OK. National Provider Identifier 1669703369, active.
NPI record
| NPI | 1669703369 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 6301 E 41st St, Tulsa, OK 74135 |
| Practice phone | 918-851-3782 |
| Mailing address | Po Box 1213, Pawhuska, OK 74056 |
| Enumerated | January 19, 2010 |
| Last updated | January 19, 2010 |
| Authorized official | Amy Dwerlkotte, Msw |
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.