Active NPI
Anita Gayle Selby, LCSW
- Clinical Social Worker
- Atoka, OK
National Provider Identifier
1144420985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4026
- Practice address
- 264 W Community Chapel Rd
Atoka, OK 74525-4014 - Phone
- (580) 380-1089
- NPI assigned
- Jul 19, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1947 | OK | |
| Clinical Social Worker | 1041C0700X | 4026 | OK | Primary |
Addresses
Primary practice location
264 W Community Chapel Rd
Atoka, OK 74525-4014
Mailing address
PO Box 1094
Atoka, OK 74525-1094
Phone (580) 380-1089
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1947 | OK | MD | Registered Dietitian |
| 60086 | TX | MD | Pharmacist |
| 4026 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1144420985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1094",
"city": "ATOKA",
"state": "OK",
"postal_code": "745251094",
"telephone_number": "580-380-1089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "264 W COMMUNITY CHAPEL RD",
"city": "ATOKA",
"state": "OK",
"postal_code": "745254014",
"telephone_number": "580-380-1089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELBY",
"first_name": "ANITA",
"middle_name": "GAYLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-19",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OK",
"license": "1947",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "4026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atoka, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.