Individual provider Active NPI

Harmony Michelle Revard, MSW, LCSW

  • Clinical Social Worker
  • Claremore, OK
National Provider Identifier
1013433655
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7129 Issued in OK
Practice address
3100 Medical Pkwy
Claremore, OK 74017-1088
Phone
(918) 342-0770
Fax
(918) 342-0087
NPI assigned
Aug 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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 7129 OK Primary

Addresses

Primary practice location

3100 Medical Pkwy
Claremore, OK 74017-1088

Mailing address

2278 S Delaware CT
Tulsa, OK 74114-1829
Phone (918) 812-3904

Other names 1

  • Harmony Michelle Revard Fuller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Lake Mental Health Center Inc CurrentSince May 9, 2022 Accepting new patients
Grand Lake Mental Health Center, Inc. Current Accepting new patients
Harmony Wellness and Consulting, PLLC Clinical CurrentSince Jan 12, 2025 Accepting new patients
Grand Lake Mental Health Center, Inc. CurrentSince May 9, 2022 Accepting new patients
Resolve Behavioral Health Services Clinical Past Accepting new patients

Locations

3100 Medical Pkwy
Claremore, OK 74017
Phone (918) 341-2356

111 S Treaty Rd
Miami, OK 74354
Phone (918) 540-1511

114 W Delaware Ave
Nowata, OK 74048
Phone 91827318412207

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1013433655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2278 S DELAWARE CT",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141829",
            "telephone_number": "918-812-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MEDICAL PKWY",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740171088",
            "telephone_number": "918-342-0770",
            "fax_number": "918-342-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVARD",
        "first_name": "HARMONY",
        "middle_name": "MICHELLE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "7129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARMONY",
            "last_name": "FULLER",
            "middle_name": "MICHELLE REVARD",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Claremore, OK

Sources for this page

Verify at the official NPI Registry.