Individual provider Active NPI

Alexis Esther Carter, LMSW-P

  • Social Worker
  • Catoosa, OK
National Provider Identifier
1649883885
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7474-P Issued in OK
Practice address
19320 E Admiral PL Ste B
Catoosa, OK 74015-3240
Phone
(918) 355-0993
NPI assigned
Aug 27, 2020
Last updated
Aug 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7474-P OK Primary

Addresses

Primary practice location

19320 E Admiral PL Ste B
Catoosa, OK 74015-3240

Mailing address

19320 E Admiral PL Ste B
Catoosa, OK 74015-3240
Phone (918) 340-5503

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
I20231107001542 OK Practitioner - Clinical Social Worker 1153778568 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7474-POKMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Creoks Mental Health Seervices CurrentSince Oct 18, 2023 Accepting new patients
Creoks Mental Health Services CurrentSince Oct 18, 2023 Accepting new patients
Creoks Mental Health Services Current Accepting new patients

Locations

19320 E Admiral Pl
Ste B
Catoosa, OK 74015
Phone (918) 340-5503

4103 S Yale Ave
Ste B
Tulsa, OK 74135
Phone (918) 382-7302

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1598486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1649883885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19320 E ADMIRAL PL STE B",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "740153240",
            "telephone_number": "918-340-5503",
            "fax_number": "918-340-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19320 E ADMIRAL PL STE B",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "740153240",
            "telephone_number": "918-355-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ALEXIS",
        "middle_name": "ESTHER",
        "credential": "LMSW-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-27",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OK",
            "license": "7474-P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catoosa, OK

Sources for this page

Verify at the official NPI Registry.