Individual provider Active NPI

Joella Mohrland Anglin, LCSW

  • Clinical Social Worker
  • Tulsa, OK
National Provider Identifier
1003830605
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20521 Issued in OK
Practice address
1538 N Lewis Ave
Tulsa, OK 74110-2535
Phone
(918) 400-7001
Fax
(539) 202-5070
NPI assigned
Jul 27, 2006
Last updated
Oct 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20521 OK Primary

Addresses

Primary practice location

1538 N Lewis Ave
Tulsa, OK 74110-2535

Mailing address

PO Box 740020
Atlanta, GA 30374-0020
Phone (312) 733-9730

Other practice location 1

312 Court St
Suite 19
The Dalles, OR 97058
Phone (541) 296-1085

Other practice location 2

7521 SE 15th St
Midwest City, OK 73110-5425
Phone (405) 453-8004

Other practice location 3

1918 NE 23rd St
Oklahoma City, OK 73111-3328
Phone (405) 453-8000

Other practice location 4

11511 E 31st St
Tulsa, OK 74146-1908
Phone (918) 400-7002

Other practice location 5

2130 SW 59th St
Oklahoma City, OK 73119-7025
Phone (403) 303-7555

Other identifiers 5

IdentifierTypeStateIssuer
166045OtherORHEALTH NET - MHN
395666OtherVALUE OPTIONS
025608000OtherORREGENCE BCBS
P00296613OtherORRR MEDICARE
J159901OtherORPACIFIC SOURCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231012001120 OK Practitioner - Clinical Social Worker 8921048422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oak Street Health Physicians Group of Oklahoma, LLCGroup PAC ID 1355746769, 31 clinicians

Practice addresses (Care Compare)

11511 E 31St St
Tulsa, OK 74146-1908
Phone (918) 400-7002

1538 N Lewis Ave
Tulsa, OK 74110-2535
Phone (918) 400-7001

2130 SW 59TH St
Oklahoma City, OK 73119-7025
Phone (405) 303-7555

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as group
Quality
83.34
Promoting interoperability
100
Improvement activities
40
Cost
100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2384ORMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Oklahoma, LLC Clinical CurrentSince Oct 16, 2023 Accepting new patients
Mid-Columbia Medical Center Clinical Past Accepting new patients
Mid-Columbia Center for Living PastSince Jun 15, 2021 Accepting new patients
Transitions Counseling Services, LLC Social Worker Past Accepting new patients
Wasco County Student Asistance Program, LLC Past Accepting new patients
Mid-Columbia Center for Living Past Accepting new patients
Marquart Anesthesia Services PA Inc Past Accepting new patients

Locations

7521 SE 15th St
Midwest City, OK 73110
Phone (405) 453-8004

1918 NE 23rd St
Oklahoma City, OK 73111
Phone (405) 453-8000

2130 SW 59th St
Oklahoma City, OK 73119
Phone (403) 303-7555

11511 E 31st St
Tulsa, OK 74146
Phone (918) 400-7002

1538 N Lewis Ave
Tulsa, OK 74110
Phone (918) 400-7001

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1003830605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740020",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740020",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 N LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741102535",
            "telephone_number": "918-400-7001",
            "fax_number": "539-202-5070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 Court St",
            "address_2": "Suite 19",
            "address_purpose": "LOCATION",
            "city": "The Dalles",
            "state": "OR",
            "postal_code": "97058",
            "country_code": "US",
            "telephone_number": "541-296-1085",
            "fax_number": "509-493-3765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7521 SE 15th St",
            "address_purpose": "LOCATION",
            "city": "Midwest City",
            "state": "OK",
            "postal_code": "731105425",
            "country_code": "US",
            "telephone_number": "405-453-8004",
            "fax_number": "405-561-4857",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1918 NE 23rd St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731113328",
            "country_code": "US",
            "telephone_number": "405-453-8000",
            "fax_number": "405-561-4984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11511 E 31st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741461908",
            "country_code": "US",
            "telephone_number": "918-400-7002",
            "fax_number": "539-202-5130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2130 SW 59th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731197025",
            "country_code": "US",
            "telephone_number": "403-303-7555",
            "fax_number": "405-561-5615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGLIN",
        "first_name": "JOELLA",
        "middle_name": "MOHRLAND",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "20521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET - MHN",
            "identifier": "166045",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "395666",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBS",
            "identifier": "025608000",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00296613",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC SOURCE",
            "identifier": "J159901",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.