OTIS ROSS GATEWOOD III (NPI# 1770860892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770860892 |
| Entity Type | Individual |
| Full Name | OTIS ROSS GATEWOOD III |
| Credential | BSBHRS |
| Practice Address |
3501 E Gore Blvd Apt 1218 Lawton OK 73501-6861 |
| Practice Telephone | 4053702448 |
| Mailing Telephone | 4053702448 |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
3501 E GORE BLVD APT 1218 |
| City | LAWTON |
| State | OK |
| Zip Code | 73501-6861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1295079705 | Premier Behavorial Health | Community/Behavioral Health | 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 | 2012-11-21 |
| 1306156989 | Diana Nix | Licensed Practical Nurse | 611 Sw B Ave, Lawton, OK 73501 | 2010-10-15 |
| 1689993214 | Crystal Leday | Physical Therapy Assistant | 602 S.e. Wallock, Lawton, OK 73501 | 2010-05-21 |
| 1457679862 | Gary Dean Gardner | Dentist | 1301 West Gore Blvd, Suite 2, Lawton, OK 73501 | 2010-05-10 |
| 1962729848 | Tayler Gammon | Hearing Instrument Specialist | 423 S.w. C Ave, Lawton, OK 73501 | 2010-04-30 |
| 1932430725 | Eric B Carpenter Sr. | Counselor | 807 Sw F Avenue, Lawton, OK 73501 | 2010-01-19 |
| 1447487640 | Benjamin Llanos | Counselor | 1719 Sw 11th, Lawton, OK 73501 | 2009-06-15 |
| 1710122833 | Provide Hearing Aids | Public Health or Welfare | 1201 West Gore Blvd, Suite D, Lawton, OK 73501 | 2008-12-03 |
| 1053506121 | Mercer Beauty Supply | Orthotic Fitter | 1016 Sw D Ave, Lawton, OK 73501 | 2007-09-11 |
| Find all providers in zip 73501 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425547 | Chanel Kolthoff | Social Worker | 1016 Sw C Ave, Lawton, OK 73501-4451 | 2019-06-12 |
| 1649748740 | Mimiy Mcmillian | Social Worker | 1713 Nw Pollard Ave, Lawton, OK 73507-1054 | 2018-11-06 |
| 1831688480 | Tina Michele Fuller | Social Worker | 2412 Nw 6th St, Lawton, OK 73507-2211 | 2018-05-08 |
| 1902219546 | Sheri Leroux | Social Worker | 3610 Ne Bradford St, Lawton, OK 73507-1972 | 2014-06-10 |
| 1609117597 | Nicholas Adam Bass | Social Worker | 811 Se Lomond Ln, Lawton, OK 73501-6609 | 2013-03-03 |
| 1366789968 | Graciela C Ocasio | Social Worker | 2014 Se Flower Mound Rd, Lawton, OK 73501-6328 | 2013-01-16 |
| 1922343250 | Jennifer Lynn Mcgrail | Social Worker | 1704 Nw 76th St, Lawton, OK 73505-2410 | 2012-11-27 |
| 1548517386 | Sam Shubert | Social Worker | 6809 Nw Crestwood Dr, Lawton, OK 73505-1277 | 2012-08-10 |
| 1447514534 | Ninoosh Sadeghi Hergenroeder | Social Worker | 1320 Homestead Dr, Suite G, Lawton, OK 73505-5243 | 2012-07-03 |
| 1770780066 | Paula Hipple | Social Worker | 602 Sw A Ave, Lawton, OK 73501-3930 | 2007-06-29 |
| Find all providers in LAWTON | ||||
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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.