Individual provider Active NPI

Tiara Delonia

  • Clinical Social Worker
  • Tulsa, OK
National Provider Identifier
1184975898
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7222 Issued in OK
Practice address
1 W 36TH St N Suite 1
Tulsa, OK 74106
Phone
(918) 425-4200
NPI assigned
Sep 21, 2012
Last updated
Oct 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7222 OK Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

1 W 36TH St N Suite 1
Tulsa, OK 74106

Mailing address

1 W 36TH St N Ste 1
Tulsa, OK 74106-1703
Phone (918) 425-4200

Other practice location 1

3015 E Skelly Dr Ste 103
Tulsa, OK 74105-6344
Phone (888) 882-0859

Other identifiers 1

IdentifierTypeStateIssuer
200287120AMedicaidOK

Other names 1

  • Tiara Miller Former name

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
I20201210002042 OK Practitioner - Clinical Social Worker 6800208141 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7222OKMDClinical Social Worker

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": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1184975898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W 36TH ST N STE 1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741061703",
            "telephone_number": "918-425-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W 36TH ST N SUITE 1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74106",
            "telephone_number": "918-425-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3015 E Skelly Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741056344",
            "country_code": "US",
            "telephone_number": "888-882-0859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELONIA",
        "first_name": "TIARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-21",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "7222",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200287120A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIARA",
            "last_name": "MILLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.