Milagro Taurus, MSW LCSW

Individual provider Active NPI Clinical Social Worker · Oklahoma, OK

NPI 1003307901 · NPPES record last updated May 25, 2018

Key facts

NPI
1003307901
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
5856 (OK)
Practice address
6051 N Brookline Ave
Suite 127
Oklahoma, OK 73112
Phone
(405) 979-0127
NPI assigned
May 25, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5856OKMDDentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5856 OK Yes

Addresses

Primary practice location

6051 N Brookline Ave
Suite 127
Oklahoma, OK 73112

Mailing address

1316 NE 12TH Street
#709
Oklahoma, OK 73117
Phone (405) 979-0127

Other names

  • Ms. Lauri Jo Mauck-Tomlinson Former name

Other providers in Oklahoma, OK

All providers in Oklahoma, OK · Clinical Social Worker in Oklahoma

Sources for this page

Verify at the official NPI Registry.