Individual provider Active NPI

William T Shahan, LCSW

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1386749976
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2196 Issued in OK
Practice address
6613 N Meridian Ave
Oklahoma City, OK 73116-1423
Phone
(405) 603-8450
Fax
(405) 848-5972
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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 2196 OK Primary

Addresses

Primary practice location

6613 N Meridian Ave
Oklahoma City, OK 73116-1423

Mailing address

3721 NW 69TH St
Oklahoma City, OK 73116-1715
Phone (405) 752-7339

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
I20060105000214 OK Practitioner - Clinical Social Worker 1951322106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Oklahoma College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
At Ease Counseling Services, PLLC.Group PAC ID 0840782165, 2 clinicians

Practice addresses (Care Compare)

5601 NW 72ND St
Suite 234
Warr Acres, OK 73132-5920
Phone (405) 953-7965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
At Ease Counseling Services, PLLC CurrentSince Oct 1, 2025 Accepting new patients
Millennium Medical Services, L.L.C. Clinical PastSince Jan 1, 2003 Accepting new patients

Locations

5601 NW 72nd St
Ste 234
Warr Acres, OK 73132
Phone (405) 367-3927

Organizations & group practices 2

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1386749976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 NW 69TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161715",
            "telephone_number": "405-752-7339",
            "fax_number": "405-848-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6613 N MERIDIAN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161423",
            "telephone_number": "405-603-8450",
            "fax_number": "405-848-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHAN",
        "first_name": "WILLIAM",
        "middle_name": "T",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "2196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.