Individual provider Active NPI

Louise Berdean Roush, L.C.S.W.

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1972682490
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2524 Issued in OK
Practice address
2932 NW 122ND St
Suite 1
Oklahoma City, OK 73120-1957
Phone
(405) 408-2816
Fax
(405) 436-0656
NPI assigned
Nov 3, 2006
Last updated
Mar 23, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 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 2524 OK Primary

Addresses

Primary practice location

2932 NW 122ND St
Suite 1
Oklahoma City, OK 73120-1957

Mailing address

7902 Meaghan Leigh Dr
Edmond, OK 73034-1505
Phone (405) 348-9171

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1972682490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7902 MEAGHAN LEIGH DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730341505",
            "telephone_number": "405-348-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2932 NW 122ND ST",
            "address_2": "SUITE 1",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731201957",
            "telephone_number": "405-408-2816",
            "fax_number": "405-436-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSH",
        "first_name": "LOUISE",
        "middle_name": "BERDEAN",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "2524",
            "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 Mar 23, 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.