MRS. CARLENE BETTY ZIMMERMAN (NPI# 1053454330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053454330 |
| Entity Type | Individual |
| Full Name | MRS. CARLENE BETTY ZIMMERMAN |
| Other Name | CARLENE BETTY DAVIS ZIMMERMAN |
| Credential | LCSW |
| Practice Address |
513 Se Quapaw Grand Lake Mental Health Center Bartlesville OK 74003 |
| Mailing Address |
3970 W Durham Rd Bartlesville OK 74006 |
| Practice Telephone | 9183378080 |
| Practice Fax Number | 9183378099 |
| Mailing Telephone | 9185343358 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2732 | OK | Behavioral Health & Social Service Providers |
| Street Address |
513 SE QUAPAW GRAND LAKE MENTAL HEALTH CENTER |
| City | BARTLESVILLE |
| State | OK |
| Zip Code | 74003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548444318 | Paul S Wallace | Licensed Practical Nurse | 513 Se Quapaw, Bartlesville, OK 74003 | 2007-12-28 |
| 1104000967 | Joshua T Franks | Counselor | 513 Se Quapaw, Bartlesville, OK 74003 | 2007-12-28 |
| 1639366370 | Lisa A. Burchett | Counselor | 513 Se Quapaw, Bartlesville, OK 74003 | 2007-09-26 |
| 1255522132 | Connie R Tallman | Specialist | 513 Se Quapaw, Bartlesville, OK 74003 | 2007-08-06 |
| 1285825166 | Rick W Thayer | Specialist | 513 Se Quapaw, Bartlesville, OK 74003 | 2007-08-06 |
| 1861683740 | Amy M Jenkins | Specialist | 513 Se Quapaw, Bartlesville, OK 74003 | 2007-08-06 |
| 1063612307 | Kristy Schwermer | Counselor | 513 Se Quapaw, Bartlesville, OK 74003 | 2007-07-24 |
| 1679785562 | Krista Hambright | Licensed Practical Nurse | 513 Se Quapaw, Bartlesville, OK 74003 | 2007-05-04 |
| 1881815967 | Heather E Brown | Counselor | 513 Se Quapaw, Bartlesville, OK 74003 | 2007-05-02 |
| 1750501961 | Amanda K Garrison | Counselor | 513 Se Quapaw, Bartlesville, OK 74003 | 2007-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637366 | Crystal Dawn Adams | Peer Specialist | 200 N Sante Fe Ave, Bartlesville, OK 74003 | 2020-10-20 |
| 1780226506 | Heather Leigh Shoesmith | Speech-Language Pathologist | 117 West 5th Street, Bartlesville, OK 74003 | 2019-10-14 |
| 1356995815 | Monica Elizabeth Mccleary | Case Manager/Care Coordinator | 1804 S Dewey Ave, Bartlesville, OK 74003 | 2019-08-01 |
| 1396209359 | Newview Oklahoma Inc. | Occupational Therapy Assistant | 102 Sw Frank Phillips Blvd, Bartlesville, OK 74003 | 2019-01-24 |
| 1952762403 | Lee Ann Bond | Case Manager/Care Coordinator | 700 S.w. Penn Ave, Bartlesville, OK 74003 | 2016-03-11 |
| 1194102897 | Tiffany Jones | Case Manager/Care Coordinator | 1679 S Oal Ave, Bartlesville, OK 74003 | 2015-05-01 |
| 1073913125 | Kaileigh Jo Johnson | Behavioral Analyst | 700 S. Pen Ave, Bartlesville, OK 74003 | 2014-08-26 |
| 1699190595 | Mindy Karyl Mccoy | Occupational Therapist | 7256 Cr 2145, Bartlesville, OK 74003 | 2014-02-28 |
| 1841612025 | Kori A Sauer | Nurse Practitioner | 501 E. Frank Phillips Blvd., Suite 202, Bartlesville, OK 74003 | 2014-01-07 |
| 1265876122 | Teri G Woodward | Community Health Worker | 325 S Osage, Bartlesville, OK 74003 | 2013-04-23 |
| Find all providers in zip 74003 | ||||
| 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 |
|---|---|---|---|---|
| 1841835774 | Julia Rose Thomas | Social Worker | 3209 Jefferson Ct, Bartlesville, OK 74006-6516 | 2019-11-14 |
| 1851631469 | Angela Evans | Social Worker | 700 Sw Penn Ave, Bartlesville, OK 74003-3847 | 2013-02-19 |
| 1447532122 | Charlene Josphine Dodd | Social Worker | 700 W Penn, Bartlesville, OK 74003 | 2011-09-19 |
| 1710267752 | Whitney Nichole Burgess | Social Worker | 1805 S Santa Fe Ave, Bartlesville, OK 74003-6140 | 2011-08-23 |
| 1255418935 | Marilou G. Bork | Social Worker | 2334 London Ln, Bartlesville, OK 74006 | 2006-11-01 |
| 1669583274 | Barbara Alexandra Tillman | Social Worker | 801 Se Washington Blvd, Bartlesville, OK 74006-4424 | 2006-08-31 |
| 1437104379 | Karen Lee Hamp | Social Worker | 245 S Madison Blvd, Bartlesville, OK 74006-2822 | 2006-05-22 |
| 1528687548 | Hailey Deann Smith | Social Worker | 401 S Dewey Ave Ste 108, Bartlesville, OK 74003-3525 | 2020-04-09 |
| 1063844371 | Phyllis A Emery | Social Worker | 700 Sw Penn, Bartlesville, OK 74003-3847 | 2013-08-08 |
| 1851655831 | Courtney Sigworth | Social Worker | 5110 Tuxedo Blvd, Bartlesville, OK 74006-2838 | 2012-06-25 |
| Find all providers in BARTLESVILLE | ||||
| City | BARTLESVILLE |
| Zip Code | 74003 |
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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.