Jessica Rae Ngotngamwong, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4891 Issued in OK

Practice address

7935 E 57TH St
Tulsa, OK 74145

Phone

(918) 268-6379

NPI assigned

Feb 2, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Renewed Hope Counseling LLC

  • Clinical Social Worker
  • Tulsa, OK
  • NPI 1366076341
  Medicare reassignment NPD Authorized official
• Center for Christian Counseling and Care PLLC

  • Marriage & Family Therapist
  • Shawnee, OK
  • NPI 1528300209
  Medicare reassignment NPD
• Jeffrey K McIlroy MD Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Claremore, OK
  • NPI 1053531830
  Medicare reassignment NPD

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1861630600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 S LEWIS AVE",
            "address_2": "STE 180",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361077",
            "telephone_number": "918-960-7852",
            "fax_number": "539-664-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7935 E 57TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74145",
            "telephone_number": "918-268-6379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 S Peoria Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741204429",
            "country_code": "US",
            "telephone_number": "918-560-9471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGOTNGAMWONG",
        "first_name": "JESSICA",
        "middle_name": "RAE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-02",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "4891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loc K. Ngo, MD
• Tiffany Marie Ngo, APRN
• Lucien K Ngochi, APRN
• Linda Ngorima, APRN
• Shalom Ngorima
• Nguyet Thi Nguyen-Musser, D.PH.
• Alan Nguyen
• Alyssia Nguyen
• Amy Nguyen
• Amy Le Nguyen

• Clinical Social Worker in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.