Individual provider Active NPI

Samantha Erin Graham, LCSW

  • Clinical Social Worker
  • Tulsa, OK
National Provider Identifier
1134424278
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4913 Issued in OK
Practice address
8988 S Sheridan Rd Ste D2
Tulsa, OK 74133-5035
Phone
(918) 608-0380
Fax
(209) 425-5727
NPI assigned
Jan 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 4913 OK Primary

Addresses

Primary practice location

8988 S Sheridan Rd Ste D2
Tulsa, OK 74133-5035

Mailing address

1402 N Florence Ave Ste B
Claremore, OK 74017-3159
Phone (918) 608-0380

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
I20220617000880 OK Practitioner - Clinical Social Worker 6800275074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7127 S Olympia Ave
Xpress Wellness Urgent Care
Tulsa, OK 74132-1856
Phone (918) 665-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Jun 23, 2023 Accepting new patients
Alliance Mental Health, LLC CurrentSince Jun 1, 2022 Accepting new patients
Alliance Mental Health, LLC CurrentSince Jun 1, 2022 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Jun 23, 2023 Accepting new patients
Family & Children'S Services Inc Past Accepting new patients
Family & Children'S Services Inc Past Accepting new patients

Locations

1402 N Florence Ave
Ste B
Claremore, OK 74017
Phone 9186080380716

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

1201 S Division St
Guthrie, OK 73044
Phone (405) 293-4504

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

8988 S Sheridan Rd
Ste D2
Tulsa, OK 74133
Phone (970) 834-8610

7127 S Olympia Ave
Tulsa, OK 74132
Phone (918) 665-9500

Organizations & group practices 6

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": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1134424278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 N FLORENCE AVE STE B",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173159",
            "telephone_number": "918-608-0380",
            "fax_number": "209-425-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8988 S SHERIDAN RD STE D2",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335035",
            "telephone_number": "918-608-0380",
            "fax_number": "209-425-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "SAMANTHA",
        "middle_name": "ERIN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "4913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.