Active NPI
Kaela Michelle White, LCSW
- Clinical Social Worker
- Oklahoma City, OK
National Provider Identifier
1669817888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 2242 NW 39TH St
Oklahoma City, OK 73112-8884 - Phone
- (405) 602-3171
- Fax
- (405) 602-3226
- NPI assigned
- May 1, 2013
- 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 | Primary |
Addresses
Primary practice location
2242 NW 39TH St
Oklahoma City, OK 73112-8884
Mailing address
921 NE 13TH St
Okc, OK 73104
Phone (405) 456-1000
Other names 1
- Ms. Kaela Michelle Brooks
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618185600000",
"number": "1669817888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 NE 13TH ST",
"city": "OKC",
"state": "OK",
"postal_code": "73104",
"telephone_number": "405-456-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2242 NW 39TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731128884",
"telephone_number": "405-602-3171",
"fax_number": "405-602-3226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "KAELA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-01",
"last_updated": "2021-04-12",
"certification_date": "2021-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAELA",
"last_name": "BROOKS",
"middle_name": "MICHELLE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.