Individual provider Active NPI

Katherine M Luna, LCSW, CMII

  • Clinical Social Worker
  • Tulsa, OK
National Provider Identifier
1467716209
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5797 Issued in OK
Practice address
3015 E Skelly Dr
Tulsa, OK 74105-6317
Phone
(918) 280-8602
NPI assigned
Jun 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Social Worker 104100000X
Clinical Social Worker 1041C0700X 5797 OK Primary

Addresses

Primary practice location

3015 E Skelly Dr
Tulsa, OK 74105-6317

Mailing address

PO Box 35031
Tulsa, OK 74153-0031
Phone (918) 280-8602

Other practice location 1

8301 E 51st St Ste 214
Tulsa, OK 74145-9014
Phone (918) 280-8602

Other identifiers 1

IdentifierTypeStateIssuer
1467716209MedicaidOK

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Tulsa
CONNECT URL Tulsa

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

State licenses

LicenseStateTypeSpecialty
5797OKMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1467716209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35031",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741530031",
            "telephone_number": "918-280-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 E SKELLY DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056317",
            "telephone_number": "918-280-8602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8301 E 51st St Ste 214",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741459014",
            "country_code": "US",
            "telephone_number": "918-280-8602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNA",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "credential": "LCSW, CMII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "5797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467716209",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tulsa",
            "affiliation": "N",
            "address_1": "8301 E 51st St Ste 214",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741459014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tulsa",
            "affiliation": "N",
            "address_1": "3015 E Skelly Dr",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741056317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.