Active NPI
Norman Michael Guthrie, LMSW
- Clinical Social Worker
- Atoka, OK
National Provider Identifier
1396063632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3689
- Practice address
- 1501 S Virginia Ave
Atoka, OK 74525-3233 - Phone
- (580) 889-3799
- NPI assigned
- May 11, 2010
- Last updated
- May 28, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 3689 | OK | Primary |
Addresses
Primary practice location
1501 S Virginia Ave
Atoka, OK 74525-3233
Mailing address
264 W Community Chapel Rd
Atoka, OK 74525-4014
Phone (605) 760-3381
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3689 | OK | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275004800000",
"number": "1396063632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 W COMMUNITY CHAPEL RD",
"city": "ATOKA",
"state": "OK",
"postal_code": "745254014",
"telephone_number": "605-760-3381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S VIRGINIA AVE",
"city": "ATOKA",
"state": "OK",
"postal_code": "745253233",
"telephone_number": "580-889-3799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTHRIE",
"first_name": "NORMAN",
"middle_name": "MICHAEL",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-11",
"last_updated": "2010-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "3689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atoka, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.