Active NPI
Priscilla Anne Chiquin
- Social Worker
- Bartlesville, OK
National Provider Identifier
1225528409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 8108
- Practice address
- 245 S. Madison
Bartlesville, OK 74006-3847 - Phone
- (918) 336-1463
- Fax
- (918) 331-9717
- NPI assigned
- May 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8108 | OK | Primary |
Addresses
Primary practice location
245 S. Madison
Bartlesville, OK 74006-3847
Mailing address
245 S Madison Blvd
Bartlesville, OK 74006-2822
Phone (918) 851-1528
Other names 1
- Priscilla Anne Crowder
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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 | |
| Family & Children'S Services, Inc | Past | Accepting new patients | |
| Family & Children'S Services, Inc | Past | Accepting new patients |
Locations
705 S Virginia Ave
Bartlesville, OK 74003
Phone (918) 231-0810
111 S Treaty Rd
Miami, OK 74354
Phone (918) 540-1511
114 W Delaware Ave
Nowata, OK 74048
Phone 91827318412207
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, OK
- NPI 1497762520
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bartlesville, OK
- NPI 1003292061
-
- Community/Behavioral Health Agency
- Tulsa, OK
- NPI 1699989202
-
- Case Management Agency
- Tulsa, OK
- NPI 1932311495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1225528409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 S MADISON BLVD",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740062822",
"telephone_number": "918-851-1528",
"fax_number": "918-337-8099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 S. MADISON",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740063847",
"telephone_number": "918-336-1463",
"fax_number": "918-331-9717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIQUIN",
"first_name": "PRISCILLA",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-14",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OK",
"license": "8108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PRISCILLA",
"last_name": "CROWDER",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bartlesville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.