Individual provider Active NPI

Charles Greg Stiver, LCSW

  • Clinical Social Worker
  • Tulsa, OK
National Provider Identifier
1336460419
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3845 Issued in OK
Practice address
1516 S Boston Ave Ste 1
Tulsa, OK 74119-4029
Phone
(918) 561-6000
Fax
(918) 561-6001
NPI assigned
Jun 12, 2010
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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 3845 OK Primary

Addresses

Primary practice location

1516 S Boston Ave Ste 1
Tulsa, OK 74119-4029

Mailing address

6301 E 41St St
Tulsa, OK 74135-6103
Phone (918) 289-0550

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

LicenseStateTypeSpecialty
3845OKMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1276300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1336460419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 E 41ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356103",
            "telephone_number": "918-289-0550",
            "fax_number": "918-289-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 S BOSTON AVE STE 1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741194029",
            "telephone_number": "918-561-6000",
            "fax_number": "918-561-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIVER",
        "first_name": "CHARLES",
        "middle_name": "GREG",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-12",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.