Individual provider Active NPI

Kanoelani Patterson

  • Clinical Social Worker
  • Duncan, OK
National Provider Identifier
1700488079
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20698 Issued in OK
Practice address
105 N 10TH St
Duncan, OK 73533-4611
Phone
(580) 574-0886
NPI assigned
Nov 12, 2020
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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 20698 OK Primary

Addresses

Primary practice location

105 N 10TH St
Duncan, OK 73533-4611

Mailing address

2524 N Broadway Ste 583
Edmond, OK 73034-4172
Phone (580) 248-5780

Other practice location 1

2305 SW H Ave
Lawton, OK 73505-8103
Phone (580) 574-0886

Other practice location 2

2524 N Broadway Ste 583
Edmond, OK 73034-4172
Phone (580) 574-0886

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": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1700488079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 N BROADWAY STE 583",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344172",
            "telephone_number": "580-248-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N 10TH ST",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735334611",
            "telephone_number": "580-574-0886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 SW H Ave",
            "address_purpose": "LOCATION",
            "city": "Lawton",
            "state": "OK",
            "postal_code": "735058103",
            "country_code": "US",
            "telephone_number": "580-574-0886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2524 N Broadway Ste 583",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730344172",
            "country_code": "US",
            "telephone_number": "580-574-0886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "KANOELANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "20698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.