Individual provider Active NPI

Logann Wayne Kelsey, LMSW U/S, CMII, BHWC

  • Social Worker
  • Tulsa, OK
National Provider Identifier
1861038390
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
102 N Denver Ave Ste C
Tulsa, OK 74103-1816
Phone
(918) 582-1200
Fax
(918) 581-0777
NPI assigned
Nov 19, 2019
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

102 N Denver Ave Ste C
Tulsa, OK 74103-1816

Mailing address

102 N Denver Ave Ste C
Tulsa, OK 74103-1816
Phone (918) 582-1200

Other practice location 1

8213 E 34th St
Tulsa, OK 74145-1410
Phone (918) 899-2016

Other names 1

  • Allisyn Leanne Kelsey Former name

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1861038390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N DENVER AVE STE C",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741031816",
            "telephone_number": "918-582-1200",
            "fax_number": "918-581-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N DENVER AVE STE C",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741031816",
            "telephone_number": "918-582-1200",
            "fax_number": "918-581-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8213 E 34th St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741451410",
            "country_code": "US",
            "telephone_number": "918-899-2016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELSEY",
        "first_name": "LOGANN",
        "middle_name": "WAYNE",
        "credential": "LMSW U/S, CMII, BHWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISYN",
            "last_name": "KELSEY",
            "middle_name": "LEANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.