Kathryn Lee Blalock, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2731 Issued in OK

Practice address

1027 E 66TH PL
Tulsa, OK 74136-3701

Phone

(918) 492-8200

Fax

(918) 492-4075

NPI assigned

Apr 7, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

University of Oklahoma College of Medicine, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Melton Health and Medical Services

  • Mental Health Counselor
  • Broken Arrow, OK
  • NPI 1093123101
  NPD (past)
• Melton Health and Medical Services

  dba Oklahoma NeuroPsychiatric Institute

  • Adult Mental Health Clinic/Center
  • Broken Arrow, OK
  • NPI 1134300049
  NPD (past)

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1760708390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 E 66TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363701",
            "telephone_number": "918-492-8200",
            "fax_number": "918-492-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 E 66TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363701",
            "telephone_number": "918-492-8200",
            "fax_number": "918-492-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLALOCK",
        "first_name": "KATHRYN",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "2731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Jo Blake
• Jesse Blaker
• Monica Blakley
• Sarah Blakley
• Ashley Marie Blalack, RN
• Lindsay Blalock, MD
• Martha Blan, LCSW
• Ashley Blanchard Ware, APRN
• Daven Blanchard
• Ketly Blanchard

• Clinical Social Worker in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.