Gem Expansive Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GEM EXPANSIVE SERVICES, LLC

Doing business as

GEM-X

Practice address

9708 N 98TH East Ave
Owasso, OK 74055-6749

Phone

(539) 900-3065

NPI assigned

Feb 18, 2021

Organization subpart

No

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

Authorized official

Name

Kimberly K Welch, LCSWNPI 1588819882

Title

Owner

Phone

(539) 900-3065

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GEM-X Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Kay Welch

  • Social Worker
  • Bartlesville, OK
  • NPI 1588819882
  NPD Authorized official

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1639762719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8086 S YALE AVE # 272",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741369003",
            "telephone_number": "539-900-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9708 N 98TH EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740556749",
            "telephone_number": "539-900-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEM EXPANSIVE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "539-900-3065",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588819882",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GEM-X",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aislynn Garrett
• Kathleen M Gary, RN, BCBA, LBA
• Suzanne E Gauldin, LD/RD
• Eddie Duane Gaut
• Lisa Geissler
• Genscripts Owasso, LLC
• Geriatric Advanced Preventive Services
• Get Hugged LLC
• Ryan Daniel Gholson, MD
• Shanett Glenn

• Clinical Social Worker in Owasso, OK
• Providers in Owasso, 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 Feb 18, 2021; 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.