Individual provider Active NPI

Deanna Beth Moslander, LCSW

  • Clinical Social Worker
  • Yukon, OK
National Provider Identifier
1376889378
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8209 Issued in OK
Practice address
110 S 5TH St Ste 200
Yukon, OK 73099-2658
Phone
(405) 212-7348
Fax
(405) 265-2553
NPI assigned
Dec 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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 8209 OK Primary

Addresses

Primary practice location

110 S 5TH St Ste 200
Yukon, OK 73099-2658

Mailing address

110 S 5TH St Ste 200
Yukon, OK 73099-2658
Phone (405) 212-7348

Other practice location 1

4911 N Portland Ave
Suite 111
Oklahoma City, OK 73112-6171
Phone (405) 605-3093

Other identifiers 1

IdentifierTypeStateIssuer
200488480BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211216002744 NV Practitioner - Clinical Social Worker 4486044187 Reassigns benefits to 2 organizations
I20231115000039 OK Practitioner - Clinical Social Worker 4486044187 Reassigns benefits to 1 organization
Practice locations: Enid, OK

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Pathways Unlimited Inc CurrentSince Dec 28, 2023 Accepting new patients
Behavioral Health Solutions LLC Clinical CurrentSince Jul 1, 2022 Accepting new patients
Next Level Psychiatry Arizona PLLC CurrentSince Jul 1, 2022 Accepting new patients
Neubauer Mental Health Services, Apc Clinical CurrentSince Dec 27, 2021 Accepting new patients
Oasis Counseling Center,Inc. PastSince Dec 1, 2012 Accepting new patients
Oasis Counseling Center, Inc Past Accepting new patients

Locations

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

5426 Vegas Dr
Las Vegas, NV 89108
Phone (702) 806-5268

4045 NW 64th St
Ste 520
Oklahoma City, OK 73116
Phone (405) 685-4791

Organizations & group practices 6

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": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1376889378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S 5TH ST STE 200",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730992658",
            "telephone_number": "405-212-7348",
            "fax_number": "405-265-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S 5TH ST STE 200",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730992658",
            "telephone_number": "405-212-7348",
            "fax_number": "405-265-2553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4911 N Portland Ave",
            "address_2": "Suite 111",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731126171",
            "country_code": "US",
            "telephone_number": "405-605-3093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSLANDER",
        "first_name": "DEANNA",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "8209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200488480B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.