Active NPI
Nathan Lee Overton, LCSW
- Clinical Social Worker
- Moore, OK
National Provider Identifier
1386216901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 21550
- Practice address
- 1105 SW 30TH CT
Moore, OK 73160-2887 - Phone
- (844) 769-2960
- NPI assigned
- Jul 13, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 12325-C | AR | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Clinical Social Worker | 1041C0700X | 21550 | OK | Primary |
Addresses
Primary practice location
1105 SW 30TH CT
Moore, OK 73160-2887
Mailing address
1105 SW 30TH CT
Moore, OK 73160-2887
Phone (844) 769-2960
Other practice location 1
110 Skyline Dr
Russellville, AR 72801-3362
Phone (479) 967-5570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1105 SW 30TH CT
Moore, OK 73160-2887
Phone (405) 378-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21550 | OK | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Associates, Inc. | Current | Accepting new patients | |
| Balance Women's Health, LLC | Current | Accepting new patients | |
| Counseling Associates Inc | Current | Accepting new patients |
Locations
110 Skyline Dr
Russellville, AR 72801
Phone 4799675570223
1105 SW 30th Ct
Moore, OK 73160
Phone (405) 378-4439
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.
-
- Community/Behavioral Health Agency
- Russellville, AR
- NPI 1649381120
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Heber Springs, AR
- NPI 1144701848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1386216901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 SW 30TH CT",
"city": "MOORE",
"state": "OK",
"postal_code": "731602887",
"telephone_number": "844-769-2960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 SW 30TH CT",
"city": "MOORE",
"state": "OK",
"postal_code": "731602887",
"telephone_number": "844-769-2960"
}
],
"practiceLocations": [
{
"address_1": "110 Skyline Dr",
"address_purpose": "LOCATION",
"city": "Russellville",
"state": "AR",
"postal_code": "728013362",
"country_code": "US",
"telephone_number": "479-967-5570",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OVERTON",
"first_name": "NATHAN",
"middle_name": "LEE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-13",
"last_updated": "2025-06-10",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "12325-C",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "21550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moore, OK
- Orthocare Services LLC
- Orthopedic Spine & Sports Physical Therapy PLLC
- Justin Hull Ory, PH.D.
- Osu Center for Health Sciences (Osu-Aj Norman Regional Moore)
- Kaylee Overand
- Jennifer Marie Owens
- Scott Alan Owens, DC
- Madeleine Ozan, RBT
- P2G2 Enterprises LLC (Amada Senior Care Norman)
- Michael Padgham, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.