AUDREY KATHERINE BRYAN (NPI# 1235319864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235319864 |
| Entity Type | Individual |
| Full Name | AUDREY KATHERINE BRYAN |
| Credential | LCSW |
| Practice Address |
1620 E 12th St Tulsa OK 74120-5407 |
| Practice Telephone | 9185822131 |
| Mailing Telephone | 9185822131 |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2007-11-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1696 | OK | Behavioral Health & Social Service Providers |
| Street Address |
1620 E 12TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74120-5407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382883 | Kaleb Redick | Nurse Practitioner | 1620 E 12th St, Tulsa, OK 74120-5407 | 2019-12-04 |
| 1982161568 | James D Pollard | Social Worker | 1620 E 12th St, Tulsa, OK 74120-5407 | 2019-03-01 |
| 1942700497 | Diana Lynn Tatro | Case Manager/Care Coordinator | 1620 E 12th St, Tulsa, OK 74120-5407 | 2018-02-20 |
| 1942616289 | Michele Despain | Registered Nurse | 1620 E 12th St, Tulsa, OK 74120-5407 | 2014-07-08 |
| 1447663158 | Frances Whisman | Registered Nurse | 1620 E 12th St, Tulsa, OK 74120-5407 | 2014-06-10 |
| 1316282684 | Uchenna Okolonwamu | Physician Assistant | 1620 E 12th St, Tulsa, OK 74120-5407 | 2012-11-27 |
| 1316295470 | Tina Cooper | Counselor | 1620 E 12th St, Tulsa, OK 74120-5407 | 2012-08-21 |
| 1639448079 | William James List | Social Worker | 1620 E 12th St, Tulsa, OK 74120-5407 | 2011-12-14 |
| 1518235019 | Rosemarie Capps | Social Worker | 1620 E 12th St, Tulsa, OK 74120-5407 | 2011-12-12 |
| 1538437140 | Noel Patrick Harter | Counselor | 1620 E 12th St, Tulsa, OK 74120-5407 | 2011-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144704321 | Quintella Delana Miller | Case Manager/Care Coordinator | 1043 E Easton St, Tulsa, OK 74120 | 2018-09-24 |
| 1689152092 | Charles Granger Jr. | Case Manager/Care Coordinator | 103 N Greenwood, Suite 320, Tulsa, OK 74120 | 2018-07-30 |
| 1174015598 | Debra Anne Beasley | Counselor | 1619 E. 13th St., Tulsa, OK 74120 | 2018-06-01 |
| 1649775701 | Cara Marie Cantu | Licensed Practical Nurse | 620 South Peoria, Tulsa, OK 74120 | 2018-03-29 |
| 1639558745 | Wei Te Li | Student in an Organized Health Care Education/Training Program | 1207 S Quaker Ave Apt 104, Tulsa, OK 74120 | 2015-05-21 |
| 1225434350 | Marcos Rivero | Community/Behavioral Health | 130 N. Greenwood, Suite 302, Tulsa, OK 74120 | 2014-11-18 |
| 1861742348 | Tamiika Jones | Social Worker | 1533 E 13th St, Apt B, Tulsa, OK 74120 | 2012-09-12 |
| 1730408097 | Teresa Lee Henshaw | Physical Therapist | 1125 S. Trenton, Hillcrest Medical Center- Kaiser Rehab. Center, Tulsa, OK 74120 | 2010-05-26 |
| 1194970384 | Kym Lynnette Lindsay | Speech-Language Pathologist | 1125 S Trenton Ave Fl 3, Tulsa, OK 74120 | 2008-12-01 |
| 1184872004 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 619 S. Quincy Ave., Ouptch-laura Dester Shelter, Tulsa, OK 74120 | 2008-09-04 |
| Find all providers in zip 74120 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376182337 | Tina Francis Counseling, LLC | Social Worker | 4870 S Lewis Ave Ste 125, Tulsa, OK 74105-5141 | 2019-12-22 |
| 1295373777 | Heartland Resolution Therapy, LLC | Social Worker | 4821 S Sheridan Rd Ste 217, Tulsa, OK 74145-5716 | 2019-12-16 |
| 1588200646 | Frank Parrinello | Social Worker | 2450 N Harvard Ave, Tulsa, OK 74115-3140 | 2019-11-25 |
| 1124676424 | Weconnectcounseling | Social Worker | 3015 E Skelly Dr Ste 313, Tulsa, OK 74105-6366 | 2019-08-29 |
| 1912567132 | Marianne James Brett | Social Worker | 4815 S Harvard Ave Ste 418, Tulsa, OK 74135-3068 | 2019-06-19 |
| 1700354420 | Karin Price | Social Worker | 7335 S Lewis Ave Ste 204, Tulsa, OK 74136-6896 | 2018-11-12 |
| 1598252884 | Beth Alison Peck | Social Worker | 10159 East 11th Street, Tulsa, OK 74128 | 2018-04-23 |
| 1841704301 | Susan Miller | Social Worker | 2502 E 71st St, Tulsa, OK 74136-5531 | 2017-11-20 |
| 1740799279 | Mary Beth Ritchie | Social Worker | 6010 S Atlanta Pl, Tulsa, OK 74105-7521 | 2017-09-27 |
| 1225566375 | Angela Bauer | Social Worker | 5512 S Lewis Ave Ste 8b, Tulsa, OK 74105-7140 | 2017-06-01 |
| Find all providers in TULSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.