Individual provider Active NPI

Donna Kay Vandall, LCSW

  • Clinical Social Worker
  • Tulsa, OK
National Provider Identifier
1609894492
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1415 Issued in OK
Practice address
PO Box 52101
Tulsa, OK 74152-0101
Phone
(918) 704-7402
Fax
(918) 744-1596
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 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 1415 OK Primary

Addresses

Primary practice location

PO Box 52101
Tulsa, OK 74152-0101

Mailing address

PO Box 52101
Tulsa, OK 74152-0101
Phone (918) 704-7402

Other names 1

  • Donna Kay Rumfeldt Former name

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
I20041026000574 OK Practitioner - Clinical Social Worker 9133180748

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1629 E 33Rd St
Tulsa, OK 74105-2615
Phone (918) 704-7402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1415OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Donna Vandall, Inc. Clinical CurrentSince Apr 30, 2003 Accepting new patients

Locations

3223 E 31st St
Ste 201
Tulsa, OK 74105
Phone (918) 749-6935

4612 S Harvard Ave
Ste B
Tulsa, OK 74135
Phone (918) 704-7402

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1609894492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741520101",
            "telephone_number": "918-704-7402",
            "fax_number": "918-744-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 52101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741520101",
            "telephone_number": "918-704-7402",
            "fax_number": "918-744-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDALL",
        "first_name": "DONNA",
        "middle_name": "KAY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "1415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "RUMFELDT",
            "middle_name": "KAY",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.