Individual provider Active NPI

Syzyline Diana Dada, LCSW

  • Clinical Social Worker
  • Tulsa, OK
National Provider Identifier
1386846996
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7929 Issued in OK
Practice address
6400 S Lewis Ave Ste 100
Tulsa, OK 74136-1019
Phone
(918) 270-4100
NPI assigned
Jun 5, 2007
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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 7929 OK Primary

Addresses

Primary practice location

6400 S Lewis Ave Ste 100
Tulsa, OK 74136-1019

Mailing address

6400 S Lewis Ave Ste 100
Tulsa, OK 74136-1019
Phone (405) 378-2727

Other practice location 1

11740 E 21st St
Tulsa, OK 74129-1820
Phone (918) 437-9495

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
I20211221000404 OK Practitioner - Clinical Social Worker 0941691216 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Balance Womens Health LLCGroup PAC ID 3476927740, 89 clinicians

Practice addresses (Care Compare)

6400 S Lewis Ave
Suite 100
Tulsa, OK 74136-1088
Phone (405) 378-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Lake Mental Health Center, Inc. CurrentSince Dec 9, 2021 Accepting new patients
Grand Lake Mental Health Center, Inc. CurrentSince Dec 9, 2021 Accepting new patients
Grand Lake Mental Health Center, Inc. Current Accepting new patients
Balance Women's Health, LLC CurrentSince Jul 1, 2025 Accepting new patients
Family & Children's Services, Inc Past Accepting new patients
Family & Children's Services, Inc Past Accepting new patients

Locations

111 S Treaty Rd
Miami, OK 74354
Phone (918) 540-1511

1105 SW 30th Ct
Moore, OK 73160
Phone (405) 676-5114

111 W Delaware Ave
Nowata, OK 74048
Phone (918) 273-7344

114 W Delaware Ave
Nowata, OK 74048
Phone 91827318412207

325 S Ash St
Nowata, OK 74048
Phone (918) 273-7344

6400 S Lewis Ave
Ste 100
Tulsa, OK 74136
Phone (918) 270-4100

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, 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": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1386846996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 S LEWIS AVE STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361019",
            "telephone_number": "405-378-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 S LEWIS AVE STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361019",
            "telephone_number": "918-270-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11740 E 21st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741291820",
            "country_code": "US",
            "telephone_number": "918-437-9495",
            "fax_number": "918-560-1399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DADA",
        "first_name": "SYZYLINE",
        "middle_name": "DIANA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "7929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.