Individual provider Active NPI

Dawn Ferrill, LCSW

  • Clinical Social Worker
  • Tulsa, OK
National Provider Identifier
1043742992
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5611 Issued in OK
Practice address
9717 E 42ND St
Tulsa, OK 74146-3618
Phone
(918) 270-4100
NPI assigned
Mar 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5611 OK Primary

Addresses

Primary practice location

9717 E 42ND St
Tulsa, OK 74146-3618

Mailing address

511 S Xanthus Ave
Tulsa, OK 74104-2622
Phone (918) 809-4205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240809003889 OK Practitioner - Clinical Social Worker 3678011525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balance Womens Health LLCGroup PAC ID 3476927740, 89 clinicians

Practice addresses (Care Compare)

6400 S Lewis Ave
Suite 100
Tulsa, OK 74136-1088
Phone (405) 378-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Women's Health, LLC CurrentSince May 30, 2024 Accepting new patients

Locations

1105 SW 30th Ct
Moore, OK 73160
Phone (405) 378-4439

6400 S Lewis Ave
Ste 100
Tulsa, OK 74136
Phone (918) 270-4100

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.dawnferrillbelanger@148561.advancedmd-direct.com

Organizations & group practices 1

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": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1043742992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 S XANTHUS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741042622",
            "telephone_number": "918-809-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9717 E 42ND ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463618",
            "telephone_number": "918-270-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRILL",
        "first_name": "DAWN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "5611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.