Healthcare Provider Details

I. General information

NPI: 1447161583
Provider Name (Legal Business Name): JOHN CAREY LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 HONOR HEIGHTS DR
MUSKOGEE OK
74401-1318
US

IV. Provider business mailing address

421 N 14TH ST
MUSKOGEE OK
74401-3102
US

V. Phone/Fax

Practice location:
  • Phone: 918-577-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number21935
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: