Individual provider Active NPI

Evelyn L Seaton, MSW, LCSW, ACSW

  • Clinical Social Worker
  • Moore, OK
National Provider Identifier
1316252976
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2961 Issued in OK
Practice address
201 N Broadway St
Suite 109
Moore, OK 73160-5135
Phone
(405) 831-7791
Fax
(405) 759-2944
NPI assigned
Aug 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2961 OK Primary

Addresses

Primary practice location

201 N Broadway St
Suite 109
Moore, OK 73160-5135

Mailing address

201 N Broadway St
Suite 109
Moore, OK 73160-5135
Phone (405) 831-7791

Other identifiers 2

IdentifierTypeStateIssuer
ITIN 27-3309899OtherFEDERAL TAX ID
ACSW 882101394OtherNATIONAL ASSOC OF SOCIAL WORKERS/ACADEMY OF CERTIFIED SOCIAL WORKERS

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305849600000",
    "number": "1316252976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N BROADWAY ST",
            "address_2": "SUITE 109",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605135",
            "telephone_number": "405-831-7791",
            "fax_number": "405-759-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N BROADWAY ST",
            "address_2": "SUITE 109",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605135",
            "telephone_number": "405-831-7791",
            "fax_number": "405-759-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEATON",
        "first_name": "EVELYN",
        "middle_name": "L",
        "credential": "MSW, LCSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-06",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "2961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "ITIN 27-3309899",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL ASSOC OF SOCIAL WORKERS/ACADEMY OF CERTIFIED SOCIAL WORKERS",
            "identifier": "ACSW 882101394",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.