Angela Jokhi Anderson, LCSW
Individual provider Active NPI Clinical Social Worker · Moore, OK
NPI 1164458097 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164458097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2793 (OK)
- Practice address
- 520 S Telephone Rd
Suite 201
Moore, OK 73160-5423 - Phone
- (405) 735-6333
- Fax
- (405) 735-6629
- NPI assigned
- Jun 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2793 | OK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moore Counseling Center, P.C. | Clinical | Past | Accepting new patients |
| Millennium Medical Services, L.L.C. | Clinical | Past |
Accepting new patients |
| Silver Leaf Counseling Services | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2793 | OK | Yes |
Addresses
Primary practice location
520 S Telephone Rd
Suite 201
Moore, OK 73160-5423
Mailing address
2621 SW 93Rd St
Oklahoma City, OK 73159-6714
Phone (405) 314-2286
Other providers in Moore, OK
- Shanda Alls
- Anchor Ministry Inc
- Erin Anderle
- Regina Anders
- Amber D Anderson
- Demetrius Laron Anderson
- Sheng Anderson
- Tracy T Anderson
- Marc Andres
- Amberlee Rhiannon Angiel
All providers in Moore, OK · Clinical Social Worker in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.