Active NPI
Jesse A Scott, LCSW
- Social Worker
- Tulsa, OK
National Provider Identifier
1790168144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 7033
- Practice address
- 6216 S Lewis Ave Ste 180
Tulsa, OK 74136-1077 - Phone
- (918) 960-7047
- Fax
- (539) 664-5738
- NPI assigned
- Jul 2, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 7033 | OK | Primary |
Addresses
Primary practice location
6216 S Lewis Ave Ste 180
Tulsa, OK 74136-1077
Mailing address
1509 S Aspen CT
Broken Arrow, OK 74012-6201
Phone (918) 906-3555
Other practice location 1
3705 Westwood Blvd
Apt #14
Los Angeles, CA 90034-6767
Phone (918) 906-3555
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 |
|---|---|---|---|
| 7033 | OK | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584144000000",
"number": "1790168144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 S ASPEN CT",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740126201",
"telephone_number": "918-906-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"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"
}
],
"practiceLocations": [
{
"address_1": "3705 Westwood Blvd",
"address_2": "Apt #14",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900346767",
"country_code": "US",
"telephone_number": "918-906-3555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCOTT",
"first_name": "JESSE",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-02",
"last_updated": "2020-03-14",
"certification_date": "2020-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OK",
"license": "7033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.