Individual provider Active NPI

Kathryn Renee Marlow, LCSW

  • Clinical Social Worker
  • Tulsa, OK
National Provider Identifier
1194823716
Registry record updated Jul 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW376 Issued in OK
Practice address
2123 S Atlanta PL
Ste 150
Tulsa, OK 74114-1779
Phone
(918) 749-6838
Fax
(833) 752-0014
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW376 OK Primary

Addresses

Primary practice location

2123 S Atlanta PL
Ste 150
Tulsa, OK 74114-1779

Mailing address

2123 S Atlanta PL
Ste 150
Tulsa, OK 74114-1779
Phone (918) 749-6838

Other names 1

  • Ms. Kathyrn Renee Fleming Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060103000311 OK Practitioner - Clinical Social Worker 2163441932 Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW376OKMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593734400000",
    "number": "1194823716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 S ATLANTA PL",
            "address_2": "STE 150",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141779",
            "telephone_number": "918-749-6838",
            "fax_number": "833-752-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 S ATLANTA PL",
            "address_2": "STE 150",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141779",
            "telephone_number": "918-749-6838",
            "fax_number": "833-752-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLOW",
        "first_name": "KATHRYN",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "LCSW376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHYRN",
            "last_name": "FLEMING",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.