Individual provider Active NPI

Andrea N Males, LCSW

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1508196007
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3296 Issued in OK
Practice address
2130 SW 59TH St
Oklahoma City, OK 73119-7025
Phone
(403) 303-7555
Fax
(405) 561-5615
NPI assigned
Jan 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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 3296 OK Primary

Addresses

Primary practice location

2130 SW 59TH St
Oklahoma City, OK 73119-7025

Mailing address

2130 SW 59TH St
Oklahoma City, OK 73119-7025
Phone (403) 303-7555

Other practice location 1

7908 NW 23rd St
Bethany, OK 73008-4950
Phone (405) 440-1006

Other practice location 2

1918 NE 23rd St
Oklahoma City, OK 73111-3328
Phone (405) 453-8000

Other practice location 3

7521 SE 15th St
Midwest City, OK 73110-5425
Phone (405) 453-8004

Other practice location 4

1538 N Lewis Ave
Tulsa, OK 74110-2535
Phone (918) 400-7001

Other practice location 5

11511 E 31st St
Tulsa, OK 74146-1908
Phone (918) 400-7002

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
I20231114002629 OK Practitioner - Clinical Social Worker 2961859814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oak Street Health Physicians Group of Oklahoma, LLCGroup PAC ID 1355746769, 31 clinicians

Practice addresses (Care Compare)

1538 N Lewis Ave
Tulsa, OK 74110-2535
Phone (918) 400-7001

2130 SW 59TH St
Oklahoma City, OK 73119-7025
Phone (405) 303-7555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3296OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Oklahoma, LLC Clinical CurrentSince Nov 27, 2023 Accepting new patients
Oak Street Health of Georgia PC Clinical Past Accepting new patients

Locations

7521 SE 15th St
Midwest City, OK 73110
Phone (405) 453-8004

2130 SW 59th St
Oklahoma City, OK 73119
Phone (403) 303-7555

1918 NE 23rd St
Oklahoma City, OK 73111
Phone (405) 453-8000

1538 N Lewis Ave
Tulsa, OK 74110
Phone (918) 400-7001

11511 E 31st St
Tulsa, OK 74146
Phone (918) 400-7002

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": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1508196007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 SW 59TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731197025",
            "telephone_number": "403-303-7555",
            "fax_number": "405-561-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 SW 59TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731197025",
            "telephone_number": "403-303-7555",
            "fax_number": "405-561-5615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7908 NW 23rd St",
            "address_purpose": "LOCATION",
            "city": "Bethany",
            "state": "OK",
            "postal_code": "730084950",
            "country_code": "US",
            "telephone_number": "405-440-1006",
            "fax_number": "405-440-1007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1918 NE 23rd St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731113328",
            "country_code": "US",
            "telephone_number": "405-453-8000",
            "fax_number": "405-561-4984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7521 SE 15th St",
            "address_purpose": "LOCATION",
            "city": "Midwest City",
            "state": "OK",
            "postal_code": "731105425",
            "country_code": "US",
            "telephone_number": "405-453-8004",
            "fax_number": "405-561-4857",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1538 N Lewis Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741102535",
            "country_code": "US",
            "telephone_number": "918-400-7001",
            "fax_number": "539-202-5070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11511 E 31st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741461908",
            "country_code": "US",
            "telephone_number": "918-400-7002",
            "fax_number": "539-202-5130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALES",
        "first_name": "ANDREA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-05",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.