Misty McConahy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3654 Issued in OK

Practice address

1027 E 66TH PL
Tulsa, OK 74136-3701

Phone

(918) 492-8200

Fax

(918) 492-4075

NPI assigned

Jan 25, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1447555222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6262 S SHERIDAN RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334055",
            "telephone_number": "918-492-8200",
            "fax_number": "918-493-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 E 66TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363701",
            "telephone_number": "918-492-8200",
            "fax_number": "918-492-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONAHY",
        "first_name": "MISTY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3654",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Lynne McCollom, MD
• Carly McCollum
• Madison Paige McComb
• Lacey McCombs, B.S.
• Dylan McConaghy
• Alisha La'Trice McConnell
• Amanda Marie McConnell, LMFT
• Denise Worden McConnell, RN, APN, GCNS-BC
• Kacey McConnell, DO
• Kacie McConnell, OTR/L

• Clinical Social Worker in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.