Trauma Center for Children and Families, L.L.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4052 Issued in OK

Legal business name

TRAUMA CENTER FOR CHILDREN AND FAMILIES, L.L.C.

Practice address

2021 S Lewis Ave
Suite 620
Tulsa, OK 74104-5733

Phone

(918) 381-6477

NPI assigned

Nov 16, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Marissa Anna Carpenter, L. C. S. W.

Title

Sole Owner

Phone

(918) 381-6477

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1275877144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3741 S XANTHUS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741058141",
            "telephone_number": "918-381-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 S LEWIS AVE",
            "address_2": "SUITE 620",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045733",
            "telephone_number": "918-381-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAUMA CENTER FOR CHILDREN AND FAMILIES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "918-381-6477",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L. C. S. W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "4052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Transitions With Dignity Health Care Services
• Transportation Leasing Co (Handicapped Vehicle Services)
• Kristiana Lei Tranum, CNS
• Brianna J Trappe, PAC
• David Alan Traub, M.D.
• Michael James Traupman
• Shelby Nicole Travis
• Traylor Chiropractic Hand and Foot Clinic
• Whitney Traylor
• TRB Drugry Inc (TRB Drugry)

• 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 Nov 16, 2012; 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.