Individual provider Active NPI

Mary Elizabeth Alaback, LCSW

  • Social Worker
  • Tulsa, OK
National Provider Identifier
1063607729
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
3223 E 31St St
Suite 201
Tulsa, OK 74105-2452
Phone
(918) 749-6935
Fax
(918) 749-7611
NPI assigned
Sep 6, 2007
Last updated
Jan 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

3223 E 31St St
Suite 201
Tulsa, OK 74105-2452

Mailing address

3223 E 31St St
Suite 201
Tulsa, OK 74105-2452
Phone (918) 749-6935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Current Accepting new patients
The Tristesse Grief Center Inc Social Worker CurrentSince Jul 1, 2024 Accepting new patients
Donna Vandall, Inc. Past Accepting new patients
Fortis Therapy LLC Past Accepting new patients

Locations

2502 E 71st St
Tulsa, OK 74136
Phone (918) 587-1200

Interoperability endpoints

  • Direct secure messaging: maryalaback@tdh.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1063607729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 E 31ST ST",
            "address_2": "SUITE 201",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741052452",
            "telephone_number": "918-749-6935",
            "fax_number": "918-749-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 E 31ST ST",
            "address_2": "SUITE 201",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741052452",
            "telephone_number": "918-749-6935",
            "fax_number": "918-749-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALABACK",
        "first_name": "MARY ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.