Individual provider Active NPI

Elizabeth Walt Bulmer, LCSW

  • Clinical Social Worker
  • Edmond, OK
National Provider Identifier
1942474028
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5120 Issued in OK
Practice address
1601 S State St
Suite 100
Edmond, OK 73013-3626
Phone
(832) 298-1763
Fax
(405) 378-0149
NPI assigned
Apr 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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 5120 OK Primary

Addresses

Primary practice location

1601 S State St
Suite 100
Edmond, OK 73013-3626

Mailing address

1601 S State St
Suite 100
Edmond, OK 73013-3626
Phone (832) 298-1763

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151229000226 OK Practitioner - Clinical Social Worker 3375612195 Reassigns benefits to 1 organization
Practice locations: Edmond, OK

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1601 S State St
Suite 100
Edmond, OK 73013-3507
Phone (405) 252-1203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth W Bulmer Counseling LLC Clinical CurrentSince Dec 30, 2022 Accepting new patients
The McGrath Clinic PastSince Apr 27, 2008 Accepting new patients

Locations

1601 S State St
Ste 100
Edmond, OK 73013
Phone (405) 252-1203

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1942474028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S STATE ST",
            "address_2": "SUITE 100",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133626",
            "telephone_number": "832-298-1763",
            "fax_number": "405-378-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S STATE ST",
            "address_2": "SUITE 100",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133626",
            "telephone_number": "832-298-1763",
            "fax_number": "405-378-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULMER",
        "first_name": "ELIZABETH",
        "middle_name": "WALT",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-18",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "5120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.