Active NPI
Misti D Luke, LCSW
- Clinical Social Worker
- Broken Bow, OK
National Provider Identifier
1073745824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- RR 4 Box 12
Broken Bow, OK 74728-9457 - Phone
- (580) 212-5393
- NPI assigned
- Aug 12, 2009
- Last updated
- Aug 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
RR 4 Box 12
Broken Bow, OK 74728-9457
Mailing address
RR 4 Box 12
Broken Bow, OK 74728-9457
Phone (580) 212-5393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- mistiluke@tdh.allscriptsdirect.net
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, 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": "1250035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250035200000",
"number": "1073745824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 4 BOX 12",
"city": "BROKEN BOW",
"state": "OK",
"postal_code": "747289457",
"telephone_number": "580-212-5393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR 4 BOX 12",
"city": "BROKEN BOW",
"state": "OK",
"postal_code": "747289457",
"telephone_number": "580-212-5393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKE",
"first_name": "MISTI",
"middle_name": "D",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-12",
"last_updated": "2009-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broken Bow, OK
- Kiamichi Family Medical Center, Inc
- Mark R Lanka, O.D.
- Tabatha Leforce, APRN
- Pamela S Lininger, LPN
- Marie Irene Loucks, MA
- Makayla Briann March, PA
- Conager Ray McBroom
- McCurtain Family Medical Clinic
- McCurtain Memorial Medical Management, Inc (McCurtain Memorial Urgent Care Clinic)
- McCurtain Memorial Medical Management, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.