Individual provider Active NPI

Lynn Loebner, LCSW

  • Clinical Social Worker
  • Tulsa, OK
National Provider Identifier
1548599756
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0369 Issued in OK
Practice address
3501 E 31St St
Tulsa, OK 74135-1504
Phone
(918) 607-1133
NPI assigned
Dec 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 989908 CO
Clinical Social Worker 1041C0700X 0369 OK Primary

Addresses

Primary practice location

3501 E 31St St
Tulsa, OK 74135-1504

Mailing address

PO Box 1764
Boulder, CO 80306-1764
Phone (918) 607-1133

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
I20170720000073 OK Practitioner - Clinical Social Worker 0749550093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Washington School of Medicine, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3501 E 31St St
Tulsa, OK 74135-1504
Phone (918) 607-1133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
989908COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Loebner Enterprises LLC CurrentSince Jul 1, 2017 Accepting new patients

Locations

3501 E 31st St
Tulsa, OK 74135
Phone (918) 607-1133

1221 E 33rd St
Tulsa, OK 74105
Phone (918) 269-9430

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": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1548599756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1764",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803061764",
            "telephone_number": "918-607-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741351504",
            "telephone_number": "918-607-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEBNER",
        "first_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-17",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "989908",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "0369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.