Individual provider Active NPI

Michelle Y. Price, LCSW

  • Clinical Social Worker
  • Ada, OK
National Provider Identifier
1285748574
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5693 Issued in OK
Practice address
18960 County Road 1569
Ada, OK 74820-0240
Phone
(580) 320-1683
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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 5693 OK Primary

Addresses

Primary practice location

18960 County Road 1569
Ada, OK 74820-0240

Mailing address

18960 County Road 1569
Ada, OK 74820-0240
Phone (580) 320-1683

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
I20220216002789 OK Practitioner - Clinical Social Worker 0244623171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Biofeedback and Counseling IncGroup PAC ID 9739480955, 10 clinicians

Practice addresses (Care Compare)

2100 N Broadway Ave
Ada, OK 74820-1048
Phone (580) 436-7120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Biofeedback & Counseling, Inc. Clinical CurrentSince Jan 1, 2022 Accepting new patients

Locations

2100 N Broadway Ave
Ada, OK 74820
Phone (580) 436-7120

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1285748574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18960 COUNTY ROAD 1569",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748200240",
            "telephone_number": "580-320-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18960 COUNTY ROAD 1569",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748200240",
            "telephone_number": "580-320-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "MICHELLE",
        "middle_name": "Y.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "5693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.