Individual provider Active NPI

Ashley Nicholle Koster, MSW U/S

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1336973726
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21161-P Issued in OK
Practice address
6051 N Brookline Ave Ste 112
Oklahoma City, OK 73112-4286
Phone
(405) 810-0054
Fax
(405) 810-8977
NPI assigned
Aug 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 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 21161-P OK Primary

Addresses

Primary practice location

6051 N Brookline Ave Ste 112
Oklahoma City, OK 73112-4286

Mailing address

11 Vera PL
McLoud, OK 74851-9374
Phone (405) 915-5526

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
21161-POKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Inc. Past Accepting new patients

Organizations & group practices 1

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": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1336973726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 VERA PL",
            "city": "MCLOUD",
            "state": "OK",
            "postal_code": "748519374",
            "telephone_number": "405-915-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 N BROOKLINE AVE STE 112",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124286",
            "telephone_number": "405-810-0054",
            "fax_number": "405-810-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTER",
        "first_name": "ASHLEY",
        "middle_name": "NICHOLLE",
        "credential": "MSW U/S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "21161-P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.