Active NPI
Patty E. Poston, L.C.S.W
- Clinical Social Worker
- Broken Arrow, OK
National Provider Identifier
1700153129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3185
- Practice address
- 6300 E Broadway St
Broken Arrow, OK 74014-6938 - Phone
- (918) 688-9489
- NPI assigned
- Nov 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 3185 | OK | Primary |
Addresses
Primary practice location
6300 E Broadway St
Broken Arrow, OK 74014-6938
Mailing address
6300 East Broadway Avenue
Broken Arrow, OK 74014-6938
Phone (918) 688-9489
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3185 | OK | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1700153129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 EAST BROADWAY AVENUE",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740146938",
"telephone_number": "918-688-9489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 E BROADWAY ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740146938",
"telephone_number": "918-688-9489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POSTON",
"first_name": "PATTY",
"middle_name": "E.",
"credential": "L.C.S.W",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-30",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "3185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.