Individual provider Active NPI

Jamie Bivings, LCSW

  • Clinical Social Worker
  • Idabel, OK
National Provider Identifier
1437593670
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4176 Issued in OK
Practice address
2809 NE Lincoln Rd
Idabel, OK 74745-2421
Phone
(580) 286-6688
Fax
(580) 298-9958
NPI assigned
Apr 18, 2013
Last updated
Feb 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 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 4176 OK Primary

Addresses

Primary practice location

2809 NE Lincoln Rd
Idabel, OK 74745-2421

Mailing address

2809 NE Lincoln Rd
Idabel, OK 74745-2421
Phone (580) 286-6688

Other identifiers 1

IdentifierTypeStateIssuer
200111200AMedicaidOK

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
I20230920000842 OK Practitioner - Clinical Social Worker 8123482411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Texas a & M University System, HSC, College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kiamichi Family Medical Center Inc.Group PAC ID 7315855541, shared by 4 NPIs, 11 clinicians

Practice addresses (Care Compare)

403 S Indian Rd
Idabel, OK 74745-5458
Phone 5802866688140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kiamichi Family Medical Center Inc. Current Accepting new patients
Kiamichi Family Medical Center Inc. CurrentSince Jul 8, 2023 Accepting new patients
Kiamichi Family Medical Center, Inc CurrentSince Jul 8, 2023 Accepting new patients
Zen Gee Counseling & Psychological Serv LLC Past Accepting new patients

Locations

510 S Park Dr
Broken Bow, OK 74728
Phone (580) 286-6688

2809 NE Lincoln Rd
Idabel, OK 74745
Phone (580) 286-6688

403 S Indian Rd
Idabel, OK 74745
Phone (580) 286-6688

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDGBBA

Organizations & group practices 4

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": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1437593670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 NE LINCOLN RD",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747452421",
            "telephone_number": "580-286-6688",
            "fax_number": "580-286-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 NE LINCOLN RD",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747452421",
            "telephone_number": "580-286-6688",
            "fax_number": "580-298-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIVINGS",
        "first_name": "JAMIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "4176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200111200A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Idabel, OK

Sources for this page

Verify at the official NPI Registry.