Individual provider Active NPI

Margaret Z Shelton

  • Social Worker
  • Tulsa, OK
National Provider Identifier
1316555345
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6372 Issued in OK
Practice address
418 S 72ND East Ave
Tulsa, OK 74112-1918
Phone
(918) 378-7552
NPI assigned
Jul 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 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 6372 OK Primary

Addresses

Primary practice location

418 S 72ND East Ave
Tulsa, OK 74112-1918

Mailing address

418 S 72ND East Ave
Tulsa, OK 74112-1918
Phone (918) 378-7552

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
I20231117001913 OK Practitioner - Clinical Social Worker 3173970860 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8018OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Creoks Mental Health Services Current Accepting new patients
Creoks Mental Health Services CurrentSince Sep 3, 2023 Accepting new patients
Creoks Mental Health Services CurrentSince Sep 3, 2023 Accepting new patients

Locations

2548 E Kenosha St
Broken Arrow, OK 74014
Phone (918) 355-0993

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": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1316555345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 S 72ND EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741121918",
            "telephone_number": "918-378-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 S 72ND EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741121918",
            "telephone_number": "918-378-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "MARGARET",
        "middle_name": "Z",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OK",
            "license": "6372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.