Active NPI
Harmony Michelle Revard, MSW, LCSW
- Clinical Social Worker
- Claremore, OK
National Provider Identifier
1013433655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7129
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Lake Mental Health Center Inc | Current | Accepting new patients | |
| Grand Lake Mental Health Center, Inc. | Current | Accepting new patients | |
| Harmony Wellness and Consulting, PLLC | Clinical | Current | Accepting new patients |
| Grand Lake Mental Health Center, Inc. | Current | 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.
-
- Clinical Social Worker
- Tulsa, OK
- NPI 1093538266
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, OK
- NPI 1588074595
-
- Community/Behavioral Health Agency
- Tulsa, OK
- NPI 1356048656
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, OK
- NPI 1497762520
-
- Clinical Social Worker
- Tulsa, OK
- NPI 1497232888
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.