Individual provider Active NPI

Marna Jane Gonzalez Schmenk, LMSW

  • Social Worker
  • Sapulpa, OK
National Provider Identifier
1285242735
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7326 Issued in OK
Practice address
631 N Brown St
Sapulpa, OK 74066-3229
Phone
(918) 224-1492
NPI assigned
Jul 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7326 OK Primary

Addresses

Primary practice location

631 N Brown St
Sapulpa, OK 74066-3229

Mailing address

8403 E 110TH St
Tulsa, OK 74133-7336
Phone (951) 295-6138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231102001452 OK Practitioner - Clinical Social Worker 7113373770 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7326OKMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Creoks Mental Health Services CurrentSince Sep 1, 2023 Accepting new patients
Creoks Mental Health Services CurrentSince Sep 1, 2023 Accepting new patients
Creoks Mental Health Services Current Accepting new patients

Locations

23 E Ross Ave
Sapulpa, OK 74066
Phone (918) 216-4999

4103 S Yale Ave
Ste B
Tulsa, OK 74135
Phone (918) 382-7302

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1285242735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8403 E 110TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337336",
            "telephone_number": "951-295-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 N BROWN ST",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740663229",
            "telephone_number": "918-224-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ SCHMENK",
        "first_name": "MARNA",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OK",
            "license": "7326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sapulpa, OK

Sources for this page

Verify at the official NPI Registry.