Anna Maria Kettlewood, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20535 Issued in OK

Practice address

7320 S Yale Ave Ste B
Tulsa, OK 74136-7034

Phone

(918) 992-2335

NPI assigned

Aug 5, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tulsa Emh1 LLC

  • Mental Health Counselor
  • Tulsa, OK
  • NPI 1316685688
  NPD

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1093489775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 S YALE AVE STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367034",
            "telephone_number": "918-992-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 S YALE AVE STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367034",
            "telephone_number": "918-992-2335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 S Walnut St",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "OK",
            "postal_code": "740744222",
            "country_code": "US",
            "telephone_number": "539-240-0911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KETTLEWOOD",
        "first_name": "ANNA",
        "middle_name": "MARIA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "20535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Nyeh Ketchandji, M.D
• Kasi Melissa Ketcher, APRN-CNP
• Desmond E Ketter, LPC
• Katherine Queen Ketter
• Pheona Ketter, REGISTERED NURSE
• John J Keveney Jr., MD
• Key Health Tulsa, LLC
• Evan Christopher Key
• Jill Christian Key, RN
• Hannah Joy Keylada, APRN

• Clinical Social Worker in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.