Kylie Jo McPhail, LMSW-P

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

650 S Peoria Ave
Tulsa, OK 74120-4429

Phone

(918) 587-9471

NPI assigned

May 1, 2018

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

• Kylie Jo Detherage Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1407345879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 E KENOSHA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740146712",
            "telephone_number": "918-382-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741204429",
            "telephone_number": "918-587-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHAIL",
        "first_name": "KYLIE",
        "middle_name": "JO",
        "credential": "LMSW-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLIE",
            "last_name": "DETHERAGE",
            "middle_name": "JO",
            "credential": "LMSW-P",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kembarly McNeill
• Megan Nickenzie McNeill
• Emily Elizabeth McNulty, MD
• Gerard J McNulty, M.D.
• Samuel James McNulty
• Amy Louise McPherson
• Kristen Ashley McPherson
• Toni Dean McPherson
• Ashley McPheters
• Lori Michelle McQuarters, BA

• Social Worker in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.