Active NPI
Kathryn Renee Marlow, LCSW
- Clinical Social Worker
- Tulsa, OK
National Provider Identifier
1194823716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW376
- 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
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 | 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060103000311 | OK | Practitioner - Clinical Social Worker | 2163441932 | Practice locations: Tulsa, OK |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW376 | OK | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; 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.