Active NPI
Timothy Dearhamer
- Social Worker
- Owasso, OK
National Provider Identifier
1316492382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 9500 N 129TH East Ave Ste 200
Owasso, OK 74055-5376 - Phone
- (918) 858-4353
- NPI assigned
- Aug 19, 2016
- Last updated
- Feb 25, 2022
- Sex
- Male
- 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 | NU | Primary |
Addresses
Primary practice location
9500 N 129TH East Ave Ste 200
Owasso, OK 74055-5376
Mailing address
9500 N 129TH East Ave Ste 200
Owasso, OK 74055-5376
Phone (918) 858-4353
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 |
|---|---|---|---|
| The Tristesse Grief Center Inc | Social Worker | Current | Accepting new patients |
| Timothylcsw LLC | Current | Accepting new patients | |
| Family & Children's Services, Inc | Past | Accepting new patients | |
| Anchored in Hope LLC | Past | Accepting new patients | |
| Family & Children's Services, Inc | Past | Accepting new patients |
Locations
2502 E 71st St
Tulsa, OK 74136
Phone (918) 587-1200
7914 E 106th St
Ste 205
Tulsa, OK 74133
Phone (918) 947-9560
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Grief Center
- Mental Health Counselor
- Tulsa, OK
- NPI 1346754314
Social Worker
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tulsa, OK
- NPI 1861109027
-
- Multi-Specialty Clinic/Center
- Tulsa, OK
- NPI 1841655321
-
- 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": "1471564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645747200000",
"number": "1316492382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 N 129TH EAST AVE STE 200",
"city": "OWASSO",
"state": "OK",
"postal_code": "740555376",
"telephone_number": "918-858-4353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 N 129TH EAST AVE STE 200",
"city": "OWASSO",
"state": "OK",
"postal_code": "740555376",
"telephone_number": "918-858-4353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEARHAMER",
"first_name": "TIMOTHY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-19",
"last_updated": "2022-02-25",
"certification_date": "2022-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owasso, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.