Active NPI
Tanith Elizabeth Garner, LCSW
- Clinical Social Worker
- Broken Arrow, OK
National Provider Identifier
1386956217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3240
- Practice address
- 1129 S Aspen Ave
Broken Arrow, OK 74012-4859 - Phone
- (918) 764-9300
- Fax
- (918) 764-9275
- NPI assigned
- Jul 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3240 | OK | Primary |
Addresses
Primary practice location
1129 S Aspen Ave
Broken Arrow, OK 74012-4859
Mailing address
1129 S Aspen Ave
Broken Arrow, OK 74012-4859
Phone (918) 764-9300
Other practice location 1
218 W 6th St
Tulsa, OK 74119-1004
Phone (918) 594-5232
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | OHCA | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melton Health and Medical Services | 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.
-
- Mental Health Counselor
- Broken Arrow, OK
- NPI 1093123101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1386956217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1129 S ASPEN AVE",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740124859",
"telephone_number": "918-764-9300",
"fax_number": "918-764-9275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1129 S ASPEN AVE",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740124859",
"telephone_number": "918-764-9300",
"fax_number": "918-764-9275"
}
],
"practiceLocations": [
{
"address_1": "218 W 6th St",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741191004",
"country_code": "US",
"telephone_number": "918-594-5232",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARNER",
"first_name": "TANITH",
"middle_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-08",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "3240",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "OHCA",
"affiliation": "N",
"endpointDescription": "State Website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1129 S Aspen Ave",
"city": "Broken Arrow",
"state": "OK",
"country_code": "US",
"postal_code": "740124859",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.