Active NPI
Courtney Dyan Kincaid, MSW
- Social Worker
- Tulsa, OK
National Provider Identifier
1306158902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2761 E Skelly Dr
Unitl 703
Tulsa, OK 74105-6232 - Phone
- (918) 712-0859
- NPI assigned
- Jul 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
2761 E Skelly Dr
Unitl 703
Tulsa, OK 74105-6232
Mailing address
2761 E Skelly Dr
Unitl 703
Tulsa, OK 74105-6232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6006 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resolve Behavioral Health Services | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Tulsa, OK
- NPI 1497232888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467676800000",
"number": "1306158902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2761 E SKELLY DR",
"address_2": "UNITL 703",
"city": "TULSA",
"state": "OK",
"postal_code": "741056232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2761 E SKELLY DR",
"address_2": "UNITL 703",
"city": "TULSA",
"state": "OK",
"postal_code": "741056232",
"telephone_number": "918-712-0859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINCAID",
"first_name": "COURTNEY",
"middle_name": "DYAN",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-12",
"last_updated": "2016-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.