Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica Rae Ngotngamwong, LCSW

Individual provider Clinical Social Worker · NPI 1861630600

Jessica Rae Ngotngamwong, LCSW is a Clinical Social Worker in Tulsa, Oklahoma. Qualified in 2010, 16 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Oklahoma.

Years since qualifying
16
Licensed in
OK
In the registry since
2009
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

7935 E 57th St
Tulsa, OK 74145
Phone: (918) 268-6379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 650 S Peoria Ave, Tulsa, OK 74120-4429 — (918) 560-9471

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 4891 (OK)

Record details

NPI number1861630600
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 2, 2009
Last updated in NPPESJuly 28, 2021
Certification dateJuly 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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