Matthew Wayne Raulston | Tulsa, OK • PECOS Search

Matthew Wayne Raulston

Social Worker

Behavioral Health & Social Service Providers

6216 S Lewis Ave Ste 102, Tulsa, OK 74136-1075

PECOS Enrollment

Based on the most recent information from CMS, provider Matthew Wayne Raulston does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:47 AM.

Profile Details

Provider ID
1942683461
Provider Type
Individual
Full Name
Raulston, Matthew Wayne
Title
Mr.
Credential
LCSW

Gender
Male
Sole Proprietor
No
Enumeration Date
7/1/2015
Last Updated
1/16/2026

Contact Information

Practice Location

6216 S Lewis Ave Ste 102, Tulsa, OK 74136-1075

Unlisted Fax

Mailing Location

6216 S Lewis Ave Ste 102, Tulsa, OK 74136-1075

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 7050 Oklahoma