Active NPI
Yaneth Garcia, CM
- Clinical Social Worker
- Pryor, OK
National Provider Identifier
1740723865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 21522
- Practice address
- 109 N. Fairland St.
Pryor, OK 74361-4203 - Phone
- (918) 915-1561
- Fax
- (918) 825-1406
- NPI assigned
- Nov 21, 2016
- 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 | 21522 | OK | Primary |
Addresses
Primary practice location
109 N. Fairland St.
Pryor, OK 74361-4203
Mailing address
109 N. Fairland St.
Pryor, OK 74361-4203
Phone (918) 915-1561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200323940 | Medicaid | OK |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21522 | OK | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1740723865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 N. FAIRLAND ST.",
"city": "PRYOR",
"state": "OK",
"postal_code": "743614203",
"telephone_number": "918-915-1561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 N. FAIRLAND ST.",
"city": "PRYOR",
"state": "OK",
"postal_code": "743614203",
"telephone_number": "918-915-1561",
"fax_number": "918-825-1406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "YANETH",
"credential": "CM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-21",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "21522",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200323940",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pryor, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.