Individual provider Active NPI

Rick J Krause, MSW

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1639237829
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1027 Issued in OK
Practice address
4435 NW 36TH St
Oklahoma City, OK 73112-2704
Phone
(405) 948-8504
Fax
(405) 848-0167
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1027 OK Primary

Addresses

Primary practice location

4435 NW 36TH St
Oklahoma City, OK 73112-2704

Mailing address

4435 NW 36TH St
Oklahoma City, OK 73112-2704
Phone (405) 948-8504

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130320000338 OK Practitioner - Clinical Social Worker 7719122811 Practice locations: Oklahoma City, OK

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4435 NW 36TH St
Oklahoma City, OK 73112-2704
Phone (405) 948-0167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1027OKMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639237829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 NW 36TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122704",
            "telephone_number": "405-948-8504",
            "fax_number": "405-848-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 NW 36TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122704",
            "telephone_number": "405-948-8504",
            "fax_number": "405-848-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSE",
        "first_name": "RICK",
        "middle_name": "J",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "1027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.