Active NPI
Kathleen Kelly Weinand, LMSW
- Clinical Social Worker
- Moore, OK
National Provider Identifier
1649013186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 20989
- Practice address
- 1901 N Moore Ave Ste 15
Moore, OK 73160-3612 - Phone
- (405) 676-5740
- NPI assigned
- Jun 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 20989 | OK | Primary |
Addresses
Primary practice location
1901 N Moore Ave Ste 15
Moore, OK 73160-3612
Mailing address
1901 N Moore Ave Ste 15
Moore, OK 73160-3612
Phone (405) 595-6361
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20989 | OK | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1649013186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 N MOORE AVE STE 15",
"city": "MOORE",
"state": "OK",
"postal_code": "731603612",
"telephone_number": "405-595-6361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 N MOORE AVE STE 15",
"city": "MOORE",
"state": "OK",
"postal_code": "731603612",
"telephone_number": "405-676-5740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINAND",
"first_name": "KATHLEEN",
"middle_name": "KELLY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-13",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "20989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.