Individual provider Active NPI

Janice L Nitzschke, LCSW

  • Clinical Social Worker
  • Bartlesville, OK
National Provider Identifier
1861563405
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2567 Issued in OK
Practice address
2200 SE Washington Blvd
Bartlesville, OK 74006-7135
Phone
(918) 335-1111
Fax
(918) 335-1119
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2567 OK Primary

Addresses

Primary practice location

2200 SE Washington Blvd
Bartlesville, OK 74006-7135

Mailing address

1408 Rockdale Rd
Bartlesville, OK 74006-4512
Phone (918) 333-4099

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

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861563405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 ROCKDALE RD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740064512",
            "telephone_number": "918-333-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SE WASHINGTON BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740067135",
            "telephone_number": "918-335-1111",
            "fax_number": "918-335-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITZSCHKE",
        "first_name": "JANICE",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "2567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.