Bernie Puente, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2535 Issued in OK

Practice address

4301 NW Mow Way Rd
Reynolds Army Community Hospital - MMD
Fort Sill, OK 73503-9018

Phone

(580) 558-2972

Fax

(580) 558-3515

NPI assigned

Oct 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Bernabe Puente Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1193529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1164601092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 NW MOW WAY RD",
            "address_2": "REYNOLDS ARMY COMMUNITY HOSPITAL - MMD",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735039018",
            "telephone_number": "580-558-2972",
            "fax_number": "580-558-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 NW MOW WAY RD",
            "address_2": "REYNOLDS ARMY COMMUNITY HOSPITAL - MMD",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735039018",
            "telephone_number": "580-558-2972",
            "fax_number": "580-558-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUENTE",
        "first_name": "BERNIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-28",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "2535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERNABE",
            "last_name": "PUENTE",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amanda Podunavac, RDH
• Latifah Serita Porter
• Aaron Michael Proffitt, M.D.
• Vanessa Profit, PA-C
• Laura Catherine Pruitt, PH.D
• Crystal Pulido, L.P.N.
• Kristi Ann Putnam, APRN, CNP
• Samantha Rae Quickle, FNP-C
• Evaristo Quinones, M.D.
• Rebecca S Rabb, RN

• Clinical Social Worker in Fort Sill, OK
• Providers in Fort Sill, 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 Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.