Individual provider Active NPI

Martha Lievano-Stanton, LCSW

  • Clinical Social Worker
  • Tulsa, OK
National Provider Identifier
1750928974
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6389 Issued in OK
Practice address
1334 N Lansing Ave
Tulsa, OK 74106-5907
Phone
(918) 587-2171
Fax
(918) 587-4534
NPI assigned
Dec 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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 6389 OK Primary

Addresses

Primary practice location

1334 N Lansing Ave
Tulsa, OK 74106-5907

Mailing address

6216 S Lewis Ave Ste 180
Tulsa, OK 74136-1077
Phone (918) 960-7047

Other practice location 1

6216 S Lewis Ave Ste 180
Tulsa, OK 74136-1077
Phone (918) 960-7047

Other practice location 2

2450 N Harvard Ave
Tulsa, OK 74115-3140
Phone (918) 845-4005

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200731000943 OK Practitioner - Clinical Social Worker 4183049638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morton Comprehensive Health Services IncGroup PAC ID 1951297621, 29 clinicians

Practice addresses (Care Compare)

11511 E 21St St
Tulsa, OK 74129-1815
Phone (918) 587-2171

1334 N Lansing Ave
Tulsa, OK 74106-5907
Phone (918) 587-2171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6389OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Morton Comprehensive Health Services, Inc CurrentSince Aug 25, 2020 Accepting new patients
Improving Lives Counseling Services, Inc. CurrentSince Dec 9, 2019 Accepting new patients
Morton Comprehensive Health Services, Inc CurrentSince Aug 25, 2020 Accepting new patients
Morton Comprehensive Health Services, Inc Current Accepting new patients

Locations

207 S Locust St
Nowata, OK 74048
Phone (918) 295-6104

6216 S Lewis Ave
Ste 180
Tulsa, OK 74136
Phone (918) 289-6531

1334 N Lansing Ave
Tulsa, OK 74106

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1750928974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 S LEWIS AVE STE 180",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361077",
            "telephone_number": "918-960-7047",
            "fax_number": "539-664-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 N LANSING AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741065907",
            "telephone_number": "918-587-2171",
            "fax_number": "918-587-4534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6216 S Lewis Ave Ste 180",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741361077",
            "country_code": "US",
            "telephone_number": "918-960-7047",
            "fax_number": "539-664-5738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 N Harvard Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741153140",
            "country_code": "US",
            "telephone_number": "918-845-4005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIEVANO-STANTON",
        "first_name": "MARTHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-06",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "6389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.