Angela Bauer

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5212 Issued in OK

Legal business name

ANGELA BAUER

Practice address

5512 S Lewis Ave Ste 8B
Tulsa, OK 74105-7140

Phone

(539) 777-1158

Fax

(918) 749-2774

NPI assigned

Jun 1, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shayna Emshoff

Title

Credentialing

Phone

(405) 831-9084

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1225566375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5427 E 110TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377252",
            "telephone_number": "918-691-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5512 S LEWIS AVE STE 8B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057140",
            "telephone_number": "539-777-1158",
            "fax_number": "918-749-2774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5512 S Lewis Ave Ste 8B",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741057140",
            "country_code": "US",
            "telephone_number": "531-777-1158",
            "fax_number": "918-749-2774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANGELA BAUER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "EMSHOFF",
        "authorized_official_first_name": "SHAYNA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "405-831-9084"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "5212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Tulsa, OK
• Providers in Tulsa, 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 Mar 17, 2018; 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.