Jonathan Carl Wales, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20363 Issued in OK

Practice address

1116 19TH St
Woodward, OK 73801-2925

Phone

(580) 922-5656

Fax

(580) 922-3261

NPI assigned

Sep 8, 2020

Last updated

Oct 21, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bent Creek Behavioral Health Services, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Woodward, OK
  • NPI 1518623735
  NPD
• State of Oklahoma

  • Medical Specialty Clinic/Center
  • Woodward, OK
  • NPI 1750456588
  NPD (past)

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1235743188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "city": "SEILING",
            "state": "OK",
            "postal_code": "736630177",
            "telephone_number": "580-922-5656",
            "fax_number": "580-922-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 19TH ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012925",
            "telephone_number": "580-922-5656",
            "fax_number": "580-922-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALES",
        "first_name": "JONATHAN",
        "middle_name": "CARL",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-08",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "20363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• W Robert Hunter DDS
• W. Trent Yadon, DDS
• Antastasia Waggoner
• Greg Waggoner
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0150)
• Walgreen Co (Walgreens #09735)
• Abagail Lynn Walker
• Breezy Wallace
• Jessica Warner
• Lindsey Warner

• Clinical Social Worker in Woodward, OK
• Providers in Woodward, 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 21, 2024; 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.

Verify at the official NPI Registry.