Georgia A. Wykoff, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

119 Issued in OK

Practice address

3010 S Harvard Ave
Suite 314
Tulsa, OK 74114-6124

Phone

(918) 744-5031

Fax

(918) 744-5031

NPI assigned

Oct 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659360683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 S HARVARD AVE",
            "address_2": "SUITE 314",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741146124",
            "telephone_number": "918-744-5031",
            "fax_number": "918-744-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 S HARVARD AVE",
            "address_2": "SUITE 314",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741146124",
            "telephone_number": "918-744-5031",
            "fax_number": "918-744-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYKOFF",
        "first_name": "GEORGIA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Nolan Wyatt, DDS MS
• Ashley Lynn Duvall Wyckoff, NBCC
• Carol M Wycoff, P.T.
• David Ralph Wycoff
• Sacha Wren Wycoff, RN
• William P. Wylie, D.O.
• Michael Wynn, DDS
• Tiffanie Wynn
• William Bernard Wynn IV, D.D.S., M.S.
• Dalton Jacob Wyrick

• Clinical Social Worker in Tulsa, OK
• Providers in Tulsa, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.