Individual provider Active NPI

Sherry Oliver, LCSW, BCD

  • Clinical Social Worker
  • Moore, OK
National Provider Identifier
1083725543
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2409 Issued in OK
Practice address
1108 SW 30TH CT Ste B
Moore, OK 73160-2888
Phone
(405) 378-2727
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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 2409 OK Primary

Addresses

Primary practice location

1108 SW 30TH CT Ste B
Moore, OK 73160-2888

Mailing address

1108 SW 30TH CT Ste B
Moore, OK 73160-2888
Phone (405) 378-2727

Other practice location 1

1105 SW 30th CT
Moore, OK 73160-2887
Phone (405) 378-2727

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
I20120409000048 OK Practitioner - Clinical Social Worker 6002077617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
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)

1108 SW 30TH CT
Suite B
Moore, OK 73160-2888
Phone (405) 378-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2409OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Women's Health, LLC CurrentSince Mar 11, 2024 Accepting new patients
Psychiatric Associates Inc PastSince Jul 17, 2022 Accepting new patients
Traditions Hospice of Tulsa, LLC Past Accepting new patients

Locations

1108 SW 30th Ct
#B
Moore, OK 73160

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

Organizations & group practices 3

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1083725543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 SW 30TH CT STE B",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602888",
            "telephone_number": "405-378-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 SW 30TH CT STE B",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602888",
            "telephone_number": "405-378-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 SW 30th CT",
            "address_purpose": "LOCATION",
            "city": "Moore",
            "state": "OK",
            "postal_code": "731602887",
            "country_code": "US",
            "telephone_number": "405-378-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "SHERRY",
        "name_prefix": "Ms.",
        "credential": "LCSW, BCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "2409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.