Christie Hilsheimer, LCSW
Individual provider Active NPI Clinical Social Worker · Pryor, OK
NPI 1184046211 · NPPES record last updated Feb 16, 2024
Key facts
- NPI
- 1184046211
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 5892 (OK)
- Practice address
- 109 N Fairland St
Pryor, OK 74361-4203 - Phone
- (918) 825-1406
- Fax
- (918) 876-3436
- NPI assigned
- Jan 8, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Grand Lake Mental Health Center, Inc.
Practice addresses (Care Compare)
109 N Fairland St
Pryor, OK 74361-4203
Phone (918) 825-1405
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190703000441 | OK | Practitioner - Clinical Social Worker | 8527392075 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Lake Mental Health Center, Inc. | Current |
Accepting new patients | |
| Grand Lake Mental Health Center, Inc. | Current |
Accepting new patients | |
| Grand Lake Mental Health Center, Inc. | Current | Accepting new patients |
Locations
111 S Treaty Rd
Miami, OK 74354
Phone (918) 540-1511
114 W Delaware Ave
Nowata, OK 74048
Phone 91827318412207
109 N Fairland St
Pryor, OK 74361
Phone (918) 825-1406
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5892 | OK | Yes |
Addresses
Primary practice location
109 N Fairland St
Pryor, OK 74361-4203
Mailing address
109 N Fairland St
Pryor, OK 74361-4205
Phone (918) 825-1406
Other providers in Pryor, OK
- Paula R Hessen
- Kaitlyn Elizabeth Hicks
- Sarah Kay Hicks
- Mania Hill-U
- Daniqua Darzjae Hill
- Jennifer L. Hixson
- Ellen Hoelscher
- Heidi Renee Hoffman-Fuh
- David George Hoffman
- Carrington Hollingsworth
All providers in Pryor, OK · Clinical Social Worker in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.