Individual provider Active NPI

Gena M Orr, LCSW

  • Clinical Social Worker
  • Tulsa, OK
National Provider Identifier
1649480781
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3411 Issued in OK
Practice address
3712 E 11TH St
Tulsa, OK 74112-3952
Phone
(918) 348-4302
Fax
(918) 834-4189
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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 3411 OK Primary

Addresses

Primary practice location

3712 E 11TH St
Tulsa, OK 74112-3952

Mailing address

3712 E 11TH St
Tulsa, OK 74112-3952
Phone (918) 348-4302

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
I20110120001226 OK Practitioner - Clinical Social Worker 3173702263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Oklahoma College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HIV Resource Consortium, Inc.Group PAC ID 7416389200, 4 clinicians

Practice addresses (Care Compare)

3712 E 11TH St
Tulsa, OK 74112-3952
Phone (918) 834-4194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3411OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
HIV Resource Consortium, Inc. CurrentSince Jan 1, 2020 Accepting new patients

Locations

3714 E 11th St
Tulsa, OK 74112
Phone (918) 834-4194

3712 E 11th St
Tulsa, OK 74112
Phone (918) 834-4194

Organizations & group practices 1

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1649480781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 E 11TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741123952",
            "telephone_number": "918-348-4302",
            "fax_number": "918-834-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 E 11TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741123952",
            "telephone_number": "918-348-4302",
            "fax_number": "918-834-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORR",
        "first_name": "GENA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.