Individual provider Active NPI

Shauna McCarter, PRSS

  • Social Worker
  • Durant, OK
National Provider Identifier
1356890552
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
308 W Main St Ste 2
Durant, OK 74701-5025
Phone
(580) 745-9276
Fax
(580) 920-9056
NPI assigned
Sep 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

308 W Main St Ste 2
Durant, OK 74701-5025

Mailing address

308 W Main St Ste 2
Durant, OK 74701-5025
Phone (580) 745-9276

Other identifiers 1

IdentifierTypeStateIssuer
35-2341619MedicaidOK

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
I20230330001674 OK Practitioner - Clinical Social Worker 9133593320 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nsight for Life LLCGroup PAC ID 7719339134, 6 clinicians
Lighthouse Behavioral Wellness CentersGroup PAC ID 6406748961, 59 clinicians

Practice addresses (Care Compare)

1313 N 16TH Ave
Durant, OK 74701-2134
Phone (580) 634-2332

2530 S Commerce St
BLDG B
Ardmore, OK 73401-5519
Phone (580) 223-5636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8810OKMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Behavioral Wellness Centers CurrentSince Feb 3, 2026 Accepting new patients
Nsight for Life LLC CurrentSince Oct 24, 2024 Accepting new patients
Lighthouse Behavioral Wellness Centers CurrentSince Feb 3, 2026 Accepting new patients

Locations

2530 S Commerce St
Bldg B
Ardmore, OK 73401
Phone (580) 319-7305

1313 N 16th Ave
Durant, OK 74701
Phone (580) 634-2332

Organizations & group practices 3

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": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1356890552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W MAIN ST STE 2",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747015025",
            "telephone_number": "580-745-9276",
            "fax_number": "580-920-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W MAIN ST STE 2",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747015025",
            "telephone_number": "580-745-9276",
            "fax_number": "580-920-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTER",
        "first_name": "SHAUNA",
        "credential": "PRSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35-2341619",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

Verify at the official NPI Registry.