Individual provider Active NPI

Cynthia R Walden, LCSW

  • Clinical Social Worker
  • Yukon, OK
National Provider Identifier
1437497617
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1601 Health Center Pkwy Ste 7
Yukon, OK 73099-6652
Phone
(405) 295-5613
NPI assigned
Jan 23, 2013
Last updated
May 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 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 NU Primary

Addresses

Primary practice location

1601 Health Center Pkwy Ste 7
Yukon, OK 73099-6652

Mailing address

701 Holly Ave
Yukon, OK 73099-3803
Phone (405) 830-2203

Other practice location 1

105 SE 45th St
Oklahoma City, OK 73129-3201
Phone (405) 632-1900

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
I20210930000877 OK Practitioner - Clinical Social Worker 4688071806 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

1601 Health Ctr Pkwy
Yukon, OK 73099-6652
Phone (405) 295-5613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dragonfly Paths Counseling Clinical CurrentSince Aug 29, 2021 Accepting new patients

Locations

1601 Health Center Pkwy
Ste 600
Yukon, OK 73099
Phone (405) 249-1411

1601 Health Center Pkwy
Ste 7
Yukon, OK 73099
Phone (405) 295-5613

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": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1437497617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 HOLLY AVE",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730993803",
            "telephone_number": "405-830-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 HEALTH CENTER PKWY STE 7",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996652",
            "telephone_number": "405-295-5613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 SE 45th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731293201",
            "country_code": "US",
            "telephone_number": "405-632-1900",
            "fax_number": "405-632-1976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "CYNTHIA",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.