Individual provider Active NPI

Katie Lynn Foster

  • Clinical Social Worker
  • Grove, OK
National Provider Identifier
1487485488
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20731 Issued in OK
Practice address
60890 E 254 Rd
Grove, OK 74344-0200
Phone
(918) 964-0124
NPI assigned
Aug 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20731 OK Primary

Addresses

Primary practice location

60890 E 254 Rd
Grove, OK 74344-0200

Mailing address

60890 E 254 Rd
Grove, OK 74344-0200
Phone (918) 964-0124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20260105003374 TX Practitioner - Clinical Social Worker 6608362116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Echota Behavioral Health Services LLCGroup PAC ID 2264928746, 9 clinicians

Practice addresses (Care Compare)

16414 W 760 Rd
Tahlequah, OK 74464-1675
Phone (918) 708-9009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20731OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Echota Behavioral Health Services, LLC CurrentSince Sep 23, 2025 Accepting new patients
Echota Behavioral Health Services, LLC Past Accepting new patients

Locations

1367 N Main St
Jay, OK 74346
Phone (918) 201-1212

16414 W 760 Rd
Tahlequah, OK 74464
Phone (918) 537-4482

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1487485488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60890 E 254 RD",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743440200",
            "telephone_number": "918-964-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60890 E 254 RD",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743440200",
            "telephone_number": "918-964-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "KATIE",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "20731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove, OK

Sources for this page

Verify at the official NPI Registry.