JESSICA RAE NGOTNGAMWONG LCSW
NPI 1861630600
Social Worker - Clinical in Tulsa, OK

Q: What is Jessica Ngotngamwong's NPI number?

The NPI number for Jessica Ngotngamwong is 1861630600. It was assigned to this individual provider in the NPPES registry on February 2, 2009.

Q: What is Jessica Ngotngamwong's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since February 02, 2009PECOS Enrolled

7935 E 57TH ST, TULSA, OK 74145(918) 268-6379 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2021, Feb 7, 2020, Dec 5, 2018 (3 updates tracked since 2018).

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About Jessica Rae Ngotngamwong Lcsw NPPES

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

JESSICA RAE NGOTNGAMWONG LCSW (NPI 1861630600) is an individual clinical provider in Tulsa, Oklahoma, licensed in Oklahoma (4891) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tulsa, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1861630600

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJESSICA RAE NGOTNGAMWONGCredential: LCSW

Location Address7935 E 57TH STTulsa, OK 74145

Mailing Address6216 S Lewis Ave, Ste 180Tulsa, OK 74136-1077 · (918) 960-7852 · Fax (539) 664-5738

Phone(918) 268-6379

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateFebruary 2, 2009

Last NPPES UpdateJuly 28, 20213 updates tracked since enumeration

NPPES CertifiedJuly 28, 2021

✔ NPI 1861630600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OK · 4891

Definition

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.

7935 E 57TH ST, Tulsa, OK 74145

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Secondary Practice Location 1

Location 1650 S Peoria AveTulsa, OK 74120-4429 · Phone (918) 560-9471

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Rae Ngotngamwong Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234480724

PECOS Enrollment IDI20210804002274

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

68 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74145 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $53.00 – $162.61

Typical copayment $0.00 (range $13.25 – $40.65)

Most-billed visit code NA

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

JARED DANIEL WHITMIRE

Counselor (Professional)