Active NPI
Marci Lynn Koetter-Manson, LSWA
- Social Worker
- Norman, OK
National Provider Identifier
1295821460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 586
- Practice address
- 2002 E Robinson
Norman, OK 73071 - Phone
- (405) 307-2814
- Fax
- (405) 307-2801
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 586 | OK | Primary |
Addresses
Primary practice location
2002 E Robinson
Norman, OK 73071
Mailing address
PO Box 490
Norman, OK 73070
Phone (405) 307-2814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 586 | OK | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295821460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 490",
"city": "NORMAN",
"state": "OK",
"postal_code": "73070",
"telephone_number": "405-307-2814",
"fax_number": "405-307-2801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 E ROBINSON",
"city": "NORMAN",
"state": "OK",
"postal_code": "73071",
"telephone_number": "405-307-2814",
"fax_number": "405-307-2801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOETTER-MANSON",
"first_name": "MARCI",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OK",
"license": "586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.