Individual provider Active NPI

Sherry Lynn Reaves, LCSW

  • Clinical Social Worker
  • Tulsa, OK
National Provider Identifier
1508908070
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3231 Issued in OK
Practice address
5840 S Memorial Dr
Suite 3003
Tulsa, OK 74145-9023
Phone
(918) 576-8744
Fax
(918) 728-6399
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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 3231 OK Primary

Addresses

Primary practice location

5840 S Memorial Dr
Suite 3003
Tulsa, OK 74145-9023

Mailing address

5840 S Memorial Dr
Suite 3003
Tulsa, OK 74145-9023
Phone (918) 576-8744

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
I20090302000050 OK Practitioner - Clinical Social Worker 4789740671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Tulsa, OK 74127
Phone (918) 576-8744

3807 S Peoria Ave
MB 31
Tulsa, OK 74105-3145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Transformations, Inc CurrentSince Jan 7, 2009 Accepting new patients

Locations

5840 S Memorial Dr
Ste 3003
Tulsa, OK 74145
Phone (918) 576-8744

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1508908070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 S MEMORIAL DR",
            "address_2": "SUITE 3003",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459023",
            "telephone_number": "918-576-8744",
            "fax_number": "918-728-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 S MEMORIAL DR",
            "address_2": "SUITE 3003",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459023",
            "telephone_number": "918-576-8744",
            "fax_number": "918-728-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAVES",
        "first_name": "SHERRY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.