Individual provider Active NPI

Dana Stewart Shunatona, LCSW

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1346608866
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58948 Issued in TX
Practice address
3212 N Hudson Ave
Oklahoma City, OK 73118-8640
Phone
(405) 301-6222
NPI assigned
Jan 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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 58948 TX Primary

Addresses

Primary practice location

3212 N Hudson Ave
Oklahoma City, OK 73118-8640

Mailing address

3212 N Hudson Ave
Oklahoma City, OK 73118-8640
Phone (405) 301-6222

Other identifiers 1

IdentifierTypeStateIssuer
754024MedicaidTX

Other names 1

  • Dana Stewart Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180626002814 TX Practitioner - Clinical Social Worker 1254686611 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BMSC TX LLC Clinical CurrentSince May 12, 2018 Accepting new patients
Deer Oaks Geriatric Services P C CurrentSince Mar 19, 2020 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Locations

10204 Bode St
Ste C
Plainfield, IL 60585
Phone (630) 844-7077

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

Interoperability endpoints

  • Direct secure messaging: danashunatona@tdh.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1346608866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 N HUDSON AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731188640",
            "telephone_number": "405-301-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 N HUDSON AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731188640",
            "telephone_number": "405-301-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUNATONA",
        "first_name": "DANA",
        "middle_name": "STEWART",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "754024",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "STEWART",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.