Individual provider Active NPI

Alecia Teacher

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1063811040
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3077 Issued in OK
Practice address
6051 N Brookline Ave Ste 112
Oklahoma City, OK 73112-4286
Phone
(405) 810-0054
NPI assigned
Aug 15, 2014
Last updated
Aug 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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 3077 OK Primary

Addresses

Primary practice location

6051 N Brookline Ave Ste 112
Oklahoma City, OK 73112-4286

Mailing address

6051 N Brookline Ave Ste 112
Oklahoma City, OK 73112-4286
Phone (405) 810-0054

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

LicenseStateTypeSpecialty
3077OKMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1063811040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 N BROOKLINE AVE STE 112",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124286",
            "telephone_number": "405-810-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 N BROOKLINE AVE STE 112",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124286",
            "telephone_number": "405-810-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEACHER",
        "first_name": "ALECIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.