Active NPI
Carolyn Y Thomas
- Social Worker
- Broken Arrow, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 4
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Current | Accepting new patients | |
| Grow Healthcare Group PA | Current | Accepting new patients | |
| Embracing You Behavioral Health | Case Manager/Care Coordinator | Current | Accepting new patients |
| Integrated Therapy Solutions of Oklahoma, LLC | Current | 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.
-
- Community/Behavioral Health Agency
- Moore, OK
- NPI 1659855278
-
- Clinical Social Worker
- Tulsa, OK
- NPI 1356114888
Case Manager/Care Coordinator
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.