Active NPI
Cheryl Ann Kottke, LMSW
- Clinical Social Worker
- Fort Sill, OK
National Provider Identifier
1144303918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2085
- Practice address
- 4301 Mow-Way Road
Reynolds Army Community Hospital(Attn: McUa-QC, )
Fort Sill, OK 73503-6300 - Phone
- (580) 458-2134
- Fax
- (580) 458-2314
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- 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 | 2085 | OK | Primary |
Addresses
Primary practice location
4301 Mow-Way Road
Reynolds Army Community Hospital(Attn: McUa-QC, )
Fort Sill, OK 73503-6300
Mailing address
2737 N.E. Euclid Street
Unit B
Lawton, OK 73501
Phone (580) 591-0593
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 |
|---|---|---|---|
| 2085 | OK | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144303918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2737 N.E. EUCLID STREET",
"address_2": "UNIT B",
"city": "LAWTON",
"state": "OK",
"postal_code": "73501",
"telephone_number": "580-591-0593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 MOW-WAY ROAD",
"address_2": "REYNOLDS ARMY COMMUNITY HOSPITAL(ATTN: MCUA-QC, )",
"city": "FORT SILL",
"state": "OK",
"postal_code": "735036300",
"telephone_number": "580-458-2134",
"fax_number": "580-458-2314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTTKE",
"first_name": "CHERYL",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "2085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Sill, 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.