Individual provider Active NPI

Erin Aimee Koos, LCSW

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1073722666
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3616 Issued in OK
Practice address
800 NE 15TH St
Rob-426
Oklahoma City, OK 73104-4614
Phone
(405) 271-2474
Fax
(405) 271-6236
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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 3616 OK Primary

Addresses

Primary practice location

800 NE 15TH St
Rob-426
Oklahoma City, OK 73104-4614

Mailing address

2554 NW 18TH St
Oklahoma City, OK 73107-3933
Phone (405) 323-8860

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1073722666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2554 NW 18TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731073933",
            "telephone_number": "405-323-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NE 15TH ST",
            "address_2": "ROB-426",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731044614",
            "telephone_number": "405-271-2474",
            "fax_number": "405-271-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOS",
        "first_name": "ERIN",
        "middle_name": "AIMEE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3616",
            "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 Nov 5, 2009; 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.