Shelley M Ware, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7190 Issued in OK

Practice address

1513 S 31St St
Broken Arrow, OK 74014-5041

Phone

(774) 535-2804

NPI assigned

Nov 28, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1225508617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 S 31ST ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740145041",
            "telephone_number": "774-535-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 S 31ST ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740145041",
            "telephone_number": "774-535-2804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Computer Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Westborough",
            "state": "MA",
            "postal_code": "015811790",
            "country_code": "US",
            "telephone_number": "617-420-5316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARE",
        "first_name": "SHELLEY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "222336",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122447",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW02357",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "7190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Walters
• Lan Wang
• Ashley Nicole Ward, M.S. CCC-SLP
• James Perry Ward, M.D.
• Rachelle Ward, MOT, OTR/L
• Warren Clinic Inc
• Kelli M Warren, RD/LD
• Greta Arlene Warta, D.O.
• Lynda Harris Washington, OTL
• Kenneth Wayne Waters, PT, MBA

• Clinical Social Worker in Broken Arrow, OK
• Providers in Broken Arrow, 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 Oct 9, 2020; 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.