Stephanie Susanne Watkins, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3902 Issued in OK

Practice address

208 N Main
Sand Springs, OK 74063

Phone

(918) 514-4029

Fax

(918) 419-2653

NPI assigned

Jun 12, 2006

Last updated

Mar 25, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Stephanie Susanne Chalk Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Daybreak Family Services, LLC

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1770751760
  NPD (past)
• Viemed Clinical Services, LLC

  • Clinical Social Worker
  • Tulsa, OK
  • NPI 1528648227
  NPD (past)
• Viemed Clinical Services, LLC

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1760067748
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301011200000",
    "number": "1346282696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14660 W 18TH ST S",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740634405",
            "telephone_number": "918-639-6887",
            "fax_number": "918-241-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N MAIN",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "74063",
            "telephone_number": "918-514-4029",
            "fax_number": "918-419-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "STEPHANIE",
        "middle_name": "SUSANNE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2011-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "CHALK",
            "middle_name": "SUSANNE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Walgreen Co (Walgreens #07857)
• Walgreen Co (Walgreens #15809)
• Geri Marie Walters, C-RSS
• Arin Warren
• Danetta Watkins
• Becca Lea Watson
• Maudie Wearstler, COTA/L
• Jamie Weiland, M.S., CRC, LPC
• Well Spoken
• Stephanie Welter, LCSW

• Clinical Social Worker in Sand Springs, OK
• Providers in Sand Springs, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.