Individual ProviderMelinda D HumphreySocial WorkerBehavioral Health & Social Service ProvidersPractice Address2502 E 71st St, Tulsa, OK 74136-5531(918) 587-1200PECOS EnrollmentBased on the most recent information from CMS, provider Melinda D Humphrey does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:47 AM.Profile DetailsProvider ID1215671466Provider TypeIndividualFull NameHumphrey, Melinda DCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date4/25/2022Last Updated4/25/2022Contact InformationPractice LocationPractice Address2502 E 71st St, Tulsa, OK 74136-5531Phone(918) 587-1200Fax(918) 712-7399Mailing LocationMailing Address2502 E 71st St, Tulsa, OK 74136-5531Phone(918) 587-1200Fax(918) 712-7399Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense2467Oklahoma