Individual provider Active NPI

Marilyn Marie Cooklin, LCSW

  • Social Worker
  • Tulsa, OK
National Provider Identifier
1992951958
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
11740 E 21St St
Tulsa, OK 74129-1820
Phone
(918) 437-9495
Fax
(918) 560-1399
NPI assigned
Aug 11, 2008
Last updated
Oct 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

11740 E 21St St
Tulsa, OK 74129-1820

Mailing address

650 S Peoria Ave
Tulsa, OK 74120-4429
Phone (918) 560-1368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141219000749 OK Practitioner - Clinical Social Worker 7911220132 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4678OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling & Recovery Services of Oklahoma, Inc. CurrentSince Sep 23, 2024 Accepting new patients
Family & Children's Services, Inc Past Accepting new patients
Family & Children's Services, Inc Past Accepting new patients

Locations

1323 E 71st St
Tulsa, OK 74136
Phone 91849225542551

7010 S Yale Ave
Ste 215
Tulsa, OK 74136
Phone (918) 245-5565

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1992951958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741204429",
            "telephone_number": "918-560-1368",
            "fax_number": "918-560-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11740 E 21ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741291820",
            "telephone_number": "918-437-9495",
            "fax_number": "918-560-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKLIN",
        "first_name": "MARILYN",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.