Provider Demographics
NPI:1003473364
Name:KESLER, REBEKAH ELIZABETH (LCSW)
Entity type:Individual
Prefix:MRS
First Name:REBEKAH
Middle Name:ELIZABETH
Last Name:KESLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:REBEKAH
Other - Middle Name:ELIZABETH
Other - Last Name:BYRD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12503 E 82ND PL N
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-6236
Mailing Address - Country:US
Mailing Address - Phone:918-607-4765
Mailing Address - Fax:
Practice Address - Street 1:2626 E 21ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74114-1770
Practice Address - Country:US
Practice Address - Phone:918-900-2081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-22
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK206801041C0700X
OK171M00000X
OK7962-P104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No171M00000XOther Service ProvidersCase Manager/Care Coordinator