Individual provider Active NPI

Trenee L Tunick, LCSW

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1841683125
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6516 Issued in OK
Practice address
5708 NW 135TH St Ste B
Oklahoma City, OK 73142-5942
Phone
(405) 697-6737
Fax
(855) 940-4072
NPI assigned
Mar 11, 2015
Last updated
Jul 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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 6516 OK Primary

Addresses

Primary practice location

5708 NW 135TH St Ste B
Oklahoma City, OK 73142-5942

Mailing address

5708 NW 135TH St Ste B
Oklahoma City, OK 73142-5942
Phone (405) 696-7442

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL simplepractice Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: No
  • 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
I20190910000835 OK Practitioner - Clinical Social Worker 0840500088 Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6516OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Uplift Christian Counseling Clinical CurrentSince Jan 22, 2023 Accepting new patients
Tami Haley Licsw Past Accepting new patients

Locations

5708 NW 135th St
Ste B
Oklahoma City, OK 73142
Phone (405) 696-7442

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1841683125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5708 NW 135TH ST STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731425942",
            "telephone_number": "405-696-7442",
            "fax_number": "855-940-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5708 NW 135TH ST STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731425942",
            "telephone_number": "405-697-6737",
            "fax_number": "855-940-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNICK",
        "first_name": "TRENEE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "6516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "simplepractice",
            "affiliation": "N",
            "endpointDescription": "HIPPA Compliant Software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5708 NW 135th St Ste B",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731425942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.