Individual provider Active NPI

Austin S Lemay, LCSW

  • Clinical Social Worker
  • Ada, OK
National Provider Identifier
1730419276
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5345 Issued in OK
Practice address
2100 N Broadway Ave
Ada, OK 74820-1048
Phone
(580) 436-7120
NPI assigned
Jan 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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 5345 OK Primary

Addresses

Primary practice location

2100 N Broadway Ave
Ada, OK 74820-1048

Mailing address

2100 N Broadway Ave
Ada, OK 74820-1048
Phone (580) 436-7120

Other practice location 1

107 E Palestine St
Mexia, TX 76667-2832
Phone (903) 257-5171

Other names 1

  • Austin Dolly Lemay Other 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
I20170927000554 OK Practitioner - Clinical Social Worker 5092848994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Biofeedback and Counseling IncGroup PAC ID 9739480955, 10 clinicians

Practice addresses (Care Compare)

2100 N Broadway Ave
Ada, OK 74820-1048
Phone (580) 436-7120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5345OKMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Biofeedback & Counseling, Inc. Clinical CurrentSince Aug 17, 2017 Accepting new patients

Locations

2100 N Broadway Ave
Ada, OK 74820
Phone (580) 436-7120

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": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1730419276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N BROADWAY AVE",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748201048",
            "telephone_number": "580-436-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N BROADWAY AVE",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748201048",
            "telephone_number": "580-436-7120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 E Palestine St",
            "address_purpose": "LOCATION",
            "city": "Mexia",
            "state": "TX",
            "postal_code": "766672832",
            "country_code": "US",
            "telephone_number": "903-257-5171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMAY",
        "first_name": "AUSTIN",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-06",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "5345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUSTIN",
            "last_name": "LEMAY",
            "middle_name": "DOLLY",
            "credential": "MSW, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.