Active NPI
Gena Dale Roberts Massey, LCSW
- Clinical Social Worker
- Tulsa, OK
National Provider Identifier
1093963316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2086
- Practice address
- 4123 S Trenton Ave
Tulsa, OK 74105-4027 - Phone
- (918) 660-3352
- Fax
- (918) 660-3383
- NPI assigned
- Aug 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 2086 | OK | Primary |
Addresses
Primary practice location
4123 S Trenton Ave
Tulsa, OK 74105-4027
Mailing address
4123 S Trenton Ave
Tulsa, OK 74105-4027
Phone (918) 660-3352
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 |
|---|---|---|---|
| 2086 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219881600000",
"number": "1093963316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4123 S TRENTON AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741054027",
"telephone_number": "918-660-3352",
"fax_number": "918-660-3383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4123 S TRENTON AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741054027",
"telephone_number": "918-660-3352",
"fax_number": "918-660-3383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS MASSEY",
"first_name": "GENA",
"middle_name": "DALE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-28",
"last_updated": "2008-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "2086",
"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 Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.