Individual provider Active NPI

Elizabeth Hall, LCSW

  • Clinical Social Worker
  • Tulsa, OK
National Provider Identifier
1275284465
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7456 Issued in OK
Practice address
5314 S Yale Ave Ste 600
Tulsa, OK 74135-6273
Phone
(918) 894-5115
Fax
(918) 856-3111
NPI assigned
Jan 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7456 OK Primary

Addresses

Primary practice location

5314 S Yale Ave Ste 600
Tulsa, OK 74135-6273

Mailing address

5314 S Yale Ave Ste 600
Tulsa, OK 74135-6273
Phone (918) 894-5115

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
I20220208002770 OK Practitioner - Clinical Social Worker 3678966918 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Oklahoma City, OK 73102
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7456OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Lake Mental Health Center Inc. CurrentSince Feb 1, 2022 Accepting new patients
Grand Lake Mental Health Center, Inc. Current Accepting new patients
Mental Health Specialty Group PA CurrentSince Jun 1, 2025 Accepting new patients
Grand Lake Mental Health Center, Inc. CurrentSince Feb 1, 2022 Accepting new patients
A New Way Center Past Accepting new patients

Locations

3100 Medical Pkwy
Claremore, OK 74017
Phone (918) 341-2356

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

114 W Delaware Ave
Nowata, OK 74048
Phone 91827318412207

101 Park Ave
Oklahoma City, OK 73102
Phone (405) 442-4940

Organizations & group practices 5

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": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1275284465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 S YALE AVE STE 600",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356273",
            "telephone_number": "918-894-5115",
            "fax_number": "918-856-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5314 S YALE AVE STE 600",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356273",
            "telephone_number": "918-894-5115",
            "fax_number": "918-856-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "7456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.