Individual provider Active NPI

Coley Fipps, LCSW

  • Clinical Social Worker
  • Oklahoma, OK
National Provider Identifier
1366041147
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4608 Issued in OK
Practice address
1200 Children Ave
Suite 6-a
Oklahoma, OK 73104
Phone
(918) 691-7232
NPI assigned
Oct 22, 2020
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 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 4608 OK Primary

Addresses

Primary practice location

1200 Children Ave
Suite 6-a
Oklahoma, OK 73104

Mailing address

PO Box 133
Norman, OK 73070-0133
Phone (918) 691-7232

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Betterhelp Direct

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
I20260324001999 OK Practitioner - Clinical Social Worker 8729562186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1122 NE 13TH St
Oklahoma City, OK 73117-1039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4608OKMDOrthodontics and Dentofacial Orthopedic Dentist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1366041147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 133",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730700133",
            "telephone_number": "918-691-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CHILDREN AVE",
            "address_2": "SUITE 6-A",
            "city": "OKLAHOMA",
            "state": "OK",
            "postal_code": "73104",
            "telephone_number": "918-691-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIPPS",
        "first_name": "COLEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "4608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Betterhelp",
            "affiliation": "N",
            "endpointDescription": "Home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3308 Grant Rd",
            "city": "Norman",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730712905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma, OK

Sources for this page

Verify at the official NPI Registry.