Bren Jelea Ulberg, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4593 Issued in OK

Practice address

4444 E 41St St
Tulsa, OK 74135-2527

Phone

(918) 619-4400

Fax

(918) 660-3631

NPI assigned

Jul 28, 2010

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 identifiers 1

Other names 1

• Bren Jelea Robinson Former name

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healthy Boundaries Inc

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1891167060
  Medicare reassignment NPD
• Integrated Therapy Solutions of Oklahoma, LLC

  • Community/Behavioral Health Agency
  • Moore, OK
  • NPI 1659855278
  Medicare reassignment

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1467766717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6028 S 66TH EAST AVE",
            "address_2": "STE. 105",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459231",
            "telephone_number": "918-361-1619",
            "fax_number": "918-499-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 E 41ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352527",
            "telephone_number": "918-619-4400",
            "fax_number": "918-660-3631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 S Saint Louis Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741205440",
            "country_code": "US",
            "telephone_number": "918-619-4400",
            "fax_number": "918-660-3631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6028 S 66th East Ave",
            "address_2": "Ste. 105",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741459231",
            "country_code": "US",
            "telephone_number": "918-361-1619",
            "fax_number": "918-499-2280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULBERG",
        "first_name": "BREN",
        "middle_name": "JELEA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "4593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002424700B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREN",
            "last_name": "ROBINSON",
            "middle_name": "JELEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia May Uhan, MS, BA
• Daniel Uhegbu
• Anton Uhren
• Caleb Osaretin Uhunmwangho
• Ukpsych LLC
• Daniel Ulberg, LPC
• Joseph Christopher Ulicny, MD
• Ultimate Health and Pain Management
• Gilberto Josue Umanzor Umanzor
• Swarnalaxmi Umapathy, MD

• Clinical Social Worker in Tulsa, OK
• Providers in Tulsa, 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 Nov 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.