Sara Whitehead, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4815 Issued in OK

Practice address

3000 United Founders Blvd
Ste 208
Oklahoma City, OK 73112-4294

Phone

(801) 891-3960

Fax

(405) 286-0178

NPI assigned

Oct 10, 2014

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 names 1

• Sara Risinger Former name

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Pathways Treatment Services Inc

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1790080562
  NPD (past)

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1639573272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 UNITED FOUNDERS BLVD",
            "address_2": "STE 208",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124294",
            "telephone_number": "801-891-3960",
            "fax_number": "405-286-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 UNITED FOUNDERS BLVD",
            "address_2": "STE 208",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124294",
            "telephone_number": "801-891-3960",
            "fax_number": "405-286-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "SARA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-10",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "4815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "RISINGER",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wanda F White
• William White
• Anthony Amos Whitebird
• Layton Glen Whited, D.O.
• Jade Nicole Whitehead, PTA
• Treta J. Whitehorn, M. ED.
• Laura Whiteley
• Charles Joe Edward Whiters
• Sarah P Whitewater, MS, LPC
• Adrian Trialon Whiting, M.S., CCC-SLP

• Clinical Social Worker in Oklahoma City, OK
• Providers in Oklahoma City, 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 Mar 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.