Individual provider Active NPI

Diane Jean Vinson, LCSW

  • Clinical Social Worker
  • Enid, OK
National Provider Identifier
1710922216
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1581 Issued in OK
Practice address
4209 Wedgewood Rd
Enid, OK 73703-3540
Phone
(580) 340-4709
NPI assigned
Jun 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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 1581 OK Primary

Addresses

Primary practice location

4209 Wedgewood Rd
Enid, OK 73703-3540

Mailing address

1115 Harber Rd
Grove, OK 74344-7918
Phone (918) 786-4434

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
I20101021000422 OK Practitioner - Clinical Social Worker 0446443527 Reassigns benefits to 3 organizations

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
Group practices
Homecare Advisors LLCGroup PAC ID 3173877362, 33 clinicians

Practice addresses (Care Compare)

302 N Independence St
Suite 408
Enid, OK 73701-4097
Phone (580) 634-3317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Homecare Advisors LLC CurrentSince Oct 4, 2024 Accepting new patients
Community Health Center of Northeast Oklahoma, Inc. CurrentSince Feb 6, 2018 Accepting new patients
Community Health Center of Northeast Oklahoma, Inc. CurrentSince Feb 6, 2018 Accepting new patients
Grand Lake Mental Health Center, Inc. Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

2701 W University Blvd
Durant, OK 74701
Phone (580) 740-4053

Organizations & group practices 6

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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1710922216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 HARBER RD",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743447918",
            "telephone_number": "918-786-4434",
            "fax_number": "918-786-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 WEDGEWOOD RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737033540",
            "telephone_number": "580-340-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINSON",
        "first_name": "DIANE",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "1581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.