Individual provider Active NPI

Natasha Nicole Hamilton, LCSW

  • Social Worker
  • Cleveland, OK
National Provider Identifier
1245734839
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7517 Issued in OK
Practice address
303 N Broadway St
Cleveland, OK 74020-3421
Phone
(539) 209-1209
Fax
(539) 203-3672
NPI assigned
Mar 20, 2018
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7517 OK Primary
Behavior Technician 106S00000X BACB1280718 OK

Addresses

Primary practice location

303 N Broadway St
Cleveland, OK 74020-3421

Mailing address

303 N Broadway St
Cleveland, OK 74020-3421
Phone (539) 209-1209

Other names 1

  • Natasha Nicole Wilson 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
I20210104002158 OK Practitioner - Clinical Social Worker 1254744691 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7517OKMDSocial Worker
BACB1280718OKMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Lake Mental Health Center, Inc. CurrentSince Dec 28, 2020 Accepting new patients
Grand Lake Mental Health Center Inc CurrentSince Dec 28, 2020 Accepting new patients
Grand Lake Mental Health Center, Inc. Current Accepting new patients
Envision Therapies LLC Behavior Technician CurrentSince May 19, 2023 Accepting new patients

Locations

303 N Broadway St
Cleveland, OK 74020
Phone (539) 209-1209

111 S Treaty Rd
Miami, OK 74354
Phone (918) 540-1511

111 W Delaware Ave
Nowata, OK 74048
Phone (918) 273-7344

114 W Delaware Ave
Nowata, OK 74048
Phone 91827318412207

1228 Pecan
Pawhuska, OK 74056
Phone (918) 287-3940

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, 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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1245734839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N BROADWAY ST",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740203421",
            "telephone_number": "539-209-1209",
            "fax_number": "539-203-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N BROADWAY ST",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740203421",
            "telephone_number": "539-209-1209",
            "fax_number": "539-203-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "NATASHA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OK",
            "license": "7517",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": "BACB1280718",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATASHA",
            "last_name": "WILSON",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cleveland, OK

Sources for this page

Verify at the official NPI Registry.