Individual provider Active NPI

Afton Mae Luttrell, LMSW, MSW U-S

  • Social Worker
  • Clinton, OK
National Provider Identifier
1649595307
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
10321 N 2274 Rd
Clinton, OK 73601-7521
Phone
(580) 331-3485
Fax
(580) 331-3569
NPI assigned
Apr 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

10321 N 2274 Rd
Clinton, OK 73601-7521

Mailing address

10321 N 2274 Rd
Clinton, OK 73601-7521
Phone (580) 331-3485

Other practice location 1

1200 E Tamarack Rd
Altus, OK 73521-1234
Phone (580) 482-4095 ext. 4715

Other identifiers 1

IdentifierTypeStateIssuer
100707910BMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Afton.Luttrell@ihs.gov Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220926002899 TX Practitioner - Clinical Social Worker 0749666998 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Watonga Indian Health Center CurrentSince Jun 14, 2022 Accepting new patients
Clinton Indian Health Center CurrentSince Jun 14, 2022 Accepting new patients
El Reno Indian Health Center CurrentSince Jun 14, 2022 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300

1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600

1305 S Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-4991

Organizations & group practices 4

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": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1649595307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10321 N 2274 RD",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736017521",
            "telephone_number": "580-331-3485",
            "fax_number": "580-331-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10321 N 2274 RD",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736017521",
            "telephone_number": "580-331-3485",
            "fax_number": "580-331-3569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 E Tamarack Rd",
            "address_purpose": "LOCATION",
            "city": "Altus",
            "state": "OK",
            "postal_code": "735211234",
            "country_code": "US",
            "telephone_number": "580-482-4095 x4715",
            "fax_number": "580-481-2499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUTTRELL",
        "first_name": "AFTON",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "LMSW, MSW U-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100707910B",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Afton.Luttrell@ihs.gov",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure messaging",
            "address_1": "10321 N 2274 Rd",
            "city": "Clinton",
            "state": "OK",
            "country_code": "US",
            "postal_code": "736017521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clinton, OK

Sources for this page

Verify at the official NPI Registry.