Individual provider Active NPI

Carolyn Y Thomas

  • Social Worker
  • Broken Arrow, OK
National Provider Identifier
1003439100
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
2317 W Gary St
Broken Arrow, OK 74012-7436
Phone
(918) 261-8934
NPI assigned
May 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Social Worker 104100000X Primary

Addresses

Primary practice location

2317 W Gary St
Broken Arrow, OK 74012-7436

Mailing address

2317 W Gary St
Broken Arrow, OK 74012-7436
Phone (918) 261-8934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, DC, VA, OR4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240202000224 OK Practitioner - Clinical Social Worker 1456704790 Reassigns benefits to 2 organizations
Practice locations: Broken Arrow, OK
I20240715002481 DC Practitioner - Clinical Social Worker 1456704790 Reassigns benefits to 1 organization
I20251121000513 VA Practitioner - Clinical Social Worker 1456704790 Reassigns benefits to 1 organization
I20260423002098 OR Practitioner - Clinical Social Worker 1456704790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Therapy Solutions of Oklahoma, LLCGroup PAC ID 2264808211, 22 clinicians

Practice addresses (Care Compare)

620 NW 5TH St D
Main Office
Moore, OK 73160-3947
Phone (405) 208-4469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC CurrentSince Sep 15, 2025 Accepting new patients
Grow Healthcare Group PA CurrentSince Jun 17, 2024 Accepting new patients
Embracing You Behavioral Health Case Manager/Care Coordinator CurrentSince Nov 12, 2023 Accepting new patients
Integrated Therapy Solutions of Oklahoma, LLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

620 NW 5th St
Ste D
Moore, OK 73160

1831 E 71st St
Tulsa, OK 74136
Phone (855) 632-6940

4845 S Sheridan Rd
Ste 509
Tulsa, OK 74145
Phone (918) 660-0031

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Networks

  • TN PPO C-SNP
  • TN PPO
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • KY PPO
  • KY PPO C-SNP
  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
  • WA PPO C-SNP
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1003439100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 W GARY ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127436",
            "telephone_number": "918-261-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 W GARY ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127436",
            "telephone_number": "918-261-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CAROLYN",
        "middle_name": "Y",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.