NPIMap

Organization Active NPI

Barbara a Tillman MSW Acsw LSW Inc

  • Clinical Social Worker
  • Bartlesville, OK
National Provider Identifier
1225110349
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111 Issued in OK
Legal business name
BARBARA A TILLMAN MSW ACSW LSW INC
Practice address
801 SE Washington Blvd
Bartlesville, OK 74006
Phone
(918) 333-1708
Fax
(918) 333-1729
NPI assigned
Oct 19, 2006
Last updated
Nov 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

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

Authorized official

Name
Barbara A Tillman, MSWNPI 1669583274
Title
Clinical Social Worker
Phone
(918) 333-1708

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 111 OK Primary

Addresses

Primary practice location

801 SE Washington Blvd
Bartlesville, OK 74006

Mailing address

4812 Rolling Meadows Rd
Bartlesville, OK 74006

Other identifiers 1

IdentifierTypeStateIssuer
100723810BMedicaidOK

National Provider Directory

National Provider Directory

Locations

801 SE Washington Blvd
Bartlesville, OK 74006
Phone (918) 333-1708

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1225110349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 ROLLING MEADOWS RD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "74006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SE WASHINGTON BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "74006",
            "telephone_number": "918-333-1708",
            "fax_number": "918-333-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA A TILLMAN MSW ACSW LSW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "918-333-1708",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100723810B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.