Active NPI
Kellie E McMaster, LCSW
- Clinical Social Worker
- Oklahoma City, OK
National Provider Identifier
1952609653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW10927
- Practice address
- 2520 NW 19TH St
Oklahoma City, OK 73107-3939 - Phone
- (937) 336-6950
- NPI assigned
- Mar 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW10927 | FL | Primary |
Addresses
Primary practice location
2520 NW 19TH St
Oklahoma City, OK 73107-3939
Mailing address
2520 NW 19TH St
Oklahoma City, OK 73107-3939
Phone (937) 336-6950
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW10927 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441324800000",
"number": "1952609653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 NW 19TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731073939",
"telephone_number": "937-336-6950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 NW 19TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731073939",
"telephone_number": "937-336-6950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMASTER",
"first_name": "KELLIE",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-03",
"last_updated": "2015-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW10927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.