Active NPI
Louise Berdean Roush, L.C.S.W.
- Clinical Social Worker
- Oklahoma City, OK
National Provider Identifier
1972682490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2524
- 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, 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 | 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.