Active NPI
Tonya Marie Love, LCSW
- Clinical Social Worker
- Tulsa, OK
National Provider Identifier
1942762752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7037
- Practice address
- 650 S Peoria Ave
Tulsa, OK 74120-4429 - Phone
- (918) 587-9471
- Fax
- (918) 560-1399
- NPI assigned
- Apr 1, 2019
- Last updated
- Aug 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 59879 | TX | |
| Clinical Social Worker | 1041C0700X | 7037 | OK | Primary |
Addresses
Primary practice location
650 S Peoria Ave
Tulsa, OK 74120-4429
Mailing address
13815 E 105TH St N
Owasso, OK 74055-4526
Phone (903) 812-0636
Other practice location 1
E 8 Cottonwood St
Cottonwood, AZ 86326
Phone (928) 634-2236
Other practice location 2
2990 N Sioux Ave
Claremore, OK 74017-3700
Phone (918) 342-2622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7037 | OK | MD | Clinical Social Worker |
| 59879 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
Locations
2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1942762752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13815 E 105TH ST N",
"city": "OWASSO",
"state": "OK",
"postal_code": "740554526",
"telephone_number": "903-812-0636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 S PEORIA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741204429",
"telephone_number": "918-587-9471",
"fax_number": "918-560-1399"
}
],
"practiceLocations": [
{
"address_1": "E 8 Cottonwood St",
"address_purpose": "LOCATION",
"city": "Cottonwood",
"state": "AZ",
"postal_code": "86326",
"country_code": "US",
"telephone_number": "928-634-2236",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2990 N Sioux Ave",
"address_purpose": "LOCATION",
"city": "Claremore",
"state": "OK",
"postal_code": "740173700",
"country_code": "US",
"telephone_number": "918-342-2622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOVE",
"first_name": "TONYA",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-01",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "59879",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "7037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 9, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.