Individual provider Active NPI

Debra Kaye Marlett-Campbell, LCSW

  • Clinical Social Worker
  • Clinton, OK
National Provider Identifier
1326240060
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
#374 Issued in OK
Practice address
70 N 31St St
Clinton, OK 73601-9116
Phone
(580) 323-5635
Fax
(580) 323-5635
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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 #374 OK Primary

Addresses

Primary practice location

70 N 31St St
Clinton, OK 73601-9116

Mailing address

PO Box 365
709 S. Main
Custer City, OK 73639
Phone (580) 593-2224

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

State licenses

LicenseStateTypeSpecialty
#374OKMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1326240060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "address_2": "709 S. MAIN",
            "city": "CUSTER CITY",
            "state": "OK",
            "postal_code": "73639",
            "telephone_number": "580-593-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 N 31ST ST",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736019116",
            "telephone_number": "580-323-5635",
            "fax_number": "580-323-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLETT-CAMPBELL",
        "first_name": "DEBRA",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "#374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.