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

Misty Upshaw, LMSWPROVISIONAL

Individual provider Social Worker · NPI 1790523132

Misty Upshaw, LMSWPROVISIONAL is a Social Worker in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2024.

Licensed in
OK
In the registry since
2024

Practice location Address checks out

1608 S Elwood Ave
Tulsa, OK 74119-4208
Phone: (918) 587-3888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 21067-P (OK)

Record details

NPI number1790523132
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSWPROVISIONAL
Sole proprietorNo
NPI enumeratedJuly 18, 2024
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024

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