Individual provider Active NPI

Alice Mary Laeger Doyle, LCSW

  • Clinical Social Worker
  • Tulsa, OK
National Provider Identifier
1952682544
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3348 Issued in OK
Practice address
10159 E 11TH St,
Jack C Montgomery Vamc, Tulsa Outpatient Clinic Ste 100
Tulsa, OK 74128-6520
Phone
(918) 610-2047
NPI assigned
Sep 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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 3348 OK Primary

Addresses

Primary practice location

10159 E 11TH St,
Jack C Montgomery Vamc, Tulsa Outpatient Clinic Ste 100
Tulsa, OK 74128-6520

Mailing address

3525 S Zunis CT
Tulsa, OK 74105-2711
Phone (918) 808-3171

Other names 1

  • Alice Mary Laeger Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3348OKMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1952682544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 S ZUNIS CT",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741052711",
            "telephone_number": "918-808-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10159 E 11TH ST,",
            "address_2": "JACK C MONTGOMERY VAMC, TULSA OUTPATIENT CLINIC STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741286520",
            "telephone_number": "918-610-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "ALICE",
        "middle_name": "MARY LAEGER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "LAEGER",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 9, 2011; 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.