Individual provider Active NPI

Jennifer C Doyle, LCSW

  • Clinical Social Worker
  • Yukon, OK
National Provider Identifier
1851899371
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7518LCSW Issued in OK
Practice address
11217 W Reno Ave
Yukon, OK 73099-7569
Phone
(918) 208-8645
NPI assigned
Jan 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 7518LCSW OK Primary

Addresses

Primary practice location

11217 W Reno Ave
Yukon, OK 73099-7569

Mailing address

12444 N.W. 10TH Street
Suite 202 PMB 204
Yukon, OK 73099
Phone (918) 208-8645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7518LCSWOKMDClinical Social Worker
7518OKMDDiagnostic Radiology Physician

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.jenniferdoyle@148561.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1851899371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12444 N.W. 10TH STREET",
            "address_2": "SUITE 202 PMB 204",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "73099",
            "telephone_number": "918-208-8645",
            "fax_number": "405-632-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11217 W RENO AVE",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997569",
            "telephone_number": "918-208-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "7518LCSW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.