KATIE LYNN TOMJACK
NPI 1619604394
Social Worker in Pryor, OK

Q: What is Katie Tomjack's NPI number?

The NPI number for Katie Tomjack is 1619604394. It was assigned to this individual provider in the NPPES registry on August 3, 2022.

Q: What is Katie Tomjack's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Katie Tomjack was last updated on August 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 03, 2022PECOS Enrolled

109 N FAIRLAND ST, PRYOR, OK 74361(918) 688-8327 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Katie Lynn Tomjack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATIE LYNN TOMJACK (NPI 1619604394) is an individual social worker in Pryor, Oklahoma and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1619604394

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameKATIE LYNN TOMJACK

Location Address109 N FAIRLAND STPryor, OK 74361-4205

Mailing Address109 N Fairland StPryor, OK 74361-4205

Phone(918) 688-8327

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 3, 2022

NPPES CertifiedAugust 3, 2022

✔ NPI 1619604394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

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.

109 N FAIRLAND ST, Pryor, OK 74361

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Lynn Tomjack is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062992969

PECOS Enrollment IDI20260218003805

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KALI ROSE KERNS

Peer Specialist