Individual provider Active NPI

Sally Ann Townsend-Wellons, LCSW

  • Clinical Social Worker
  • Sapulpa, OK
National Provider Identifier
1194026567
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5367 Issued in OK
Practice address
304 S Mission St
Sapulpa, OK 74066-4640
Phone
(918) 268-7295
Fax
(539) 664-5738
NPI assigned
Nov 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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 5367 OK Primary
Social Worker 104100000X

Addresses

Primary practice location

304 S Mission St
Sapulpa, OK 74066-4640

Mailing address

6216 S Lewis Ave Ste 180
Tulsa, OK 74136-1077
Phone (918) 960-7852

Other practice location 1

8555 N 117th East Ave Ste 205
Owasso, OK 74055-2199
Phone (918) 268-7263

Other identifiers 1

IdentifierTypeStateIssuer
200369760 BMedicaidOK

Other names 1

  • Sally Ann Oxley 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
I20181031002583 OK Practitioner - Clinical Social Worker 1850644287 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Improving Lives Counseling Services IncGroup PAC ID 3870818230, 32 clinicians

Practice addresses (Care Compare)

6216 S Lewis Ave
Suite 180
Tulsa, OK 74136-1077
Phone (918) 960-7852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Improving Lives Counseling Services, Inc. CurrentSince Sep 14, 2018 Accepting new patients

Locations

8555 N 117th East Ave
Ste 205
Owasso, OK 74055
Phone (918) 274-7311

6216 S Lewis Ave
Ste 180
Tulsa, OK 74136
Phone (918) 289-6531

Organizations & group practices 2

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": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1194026567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 S LEWIS AVE STE 180",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361077",
            "telephone_number": "918-960-7852",
            "fax_number": "539-664-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S MISSION ST",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664640",
            "telephone_number": "918-268-7295",
            "fax_number": "539-664-5738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8555 N 117th East Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Owasso",
            "state": "OK",
            "postal_code": "740552199",
            "country_code": "US",
            "telephone_number": "918-268-7263",
            "fax_number": "539-664-5738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOWNSEND-WELLONS",
        "first_name": "SALLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-16",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "5367",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200369760 B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "OXLEY",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sapulpa, OK

Sources for this page

Verify at the official NPI Registry.