Individual provider Active NPI

Bonnie Segard, RN, LCSW

  • Clinical Social Worker
  • Tulsa, OK
National Provider Identifier
1487724571
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C5909 Issued in MS
Practice address
7305 E 32ND St
Tulsa, OK 74145-1216
Phone
(918) 370-5026
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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 C5909 MS Primary

Addresses

Primary practice location

7305 E 32ND St
Tulsa, OK 74145-1216

Mailing address

7305 E 32ND St
Tulsa, OK 74145-1216
Phone (918) 370-5026

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2921LAMDProfessional Counselor
C5909MSMDClinical Social Worker
4303OKMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1487724571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 E 32ND ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451216",
            "telephone_number": "918-370-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 E 32ND ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451216",
            "telephone_number": "918-370-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGARD",
        "first_name": "BONNIE",
        "name_prefix": "Ms.",
        "credential": "RN, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C5909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 4, 2013; 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.