Active NPI
Charley Farley, LCSW
- Clinical Social Worker
- Tulsa, OK
National Provider Identifier
1043416266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3336
- Practice address
- 6125 S Sheridan Rd
Tulsa, OK 74133-4056 - Phone
- (918) 585-3083
- Fax
- (918) 495-3713
- NPI assigned
- Jun 25, 2007
- Sex
- Male
- 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 | 3336 | OK | Primary |
Addresses
Primary practice location
6125 S Sheridan Rd
Tulsa, OK 74133-4056
Mailing address
6262 S Sheridan Rd
Tulsa, OK 74133-4055
Phone (918) 492-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3336 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043416266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6262 S SHERIDAN RD",
"city": "TULSA",
"state": "OK",
"postal_code": "741334055",
"telephone_number": "918-492-8200",
"fax_number": "918-493-3268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6125 S SHERIDAN RD",
"city": "TULSA",
"state": "OK",
"postal_code": "741334056",
"telephone_number": "918-585-3083",
"fax_number": "918-495-3713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARLEY",
"first_name": "CHARLEY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "3336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.