Individual provider Active NPI

Karla A Edwards, L.C.S.W.

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1962521146
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3760 Issued in OK
Practice address
6051 N Brookline Ave
Suite 112
Oklahoma City, OK 73112-4289
Phone
(405) 810-0054
Fax
(405) 810-8977
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 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 3760 OK Primary

Addresses

Primary practice location

6051 N Brookline Ave
Suite 112
Oklahoma City, OK 73112-4289

Mailing address

6051 N Brookline Ave
Ste. 112
Oklahoma City, OK 73112-4289
Phone (405) 810-0054

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

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1962521146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 N BROOKLINE AVE",
            "address_2": "STE. 112",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124289",
            "telephone_number": "405-810-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 N BROOKLINE AVE",
            "address_2": "SUITE 112",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124289",
            "telephone_number": "405-810-0054",
            "fax_number": "405-810-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KARLA",
        "middle_name": "A",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3760",
            "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 Apr 8, 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.