Individual provider Active NPI

Brenda McEntire Uphold, LCSW

  • Clinical Social Worker
  • Sapulpa, OK
National Provider Identifier
1760815187
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5705 Issued in OK
Practice address
8703 W 151St St S
Sapulpa, OK 74066-1043
Phone
(316) 305-6064
Fax
(855) 551-4090
NPI assigned
Aug 21, 2013
Last updated
Oct 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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 5705 OK Primary

Addresses

Primary practice location

8703 W 151St St S
Sapulpa, OK 74066-1043

Mailing address

8703 W 151St St S
Sapulpa, OK 74066-1043
Phone (316) 305-6064

Other identifiers 1

IdentifierTypeStateIssuer
200531130AMedicaidOK

Other names 1

  • Brenda McEntire 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
I20180412001415 OK Practitioner - Clinical Social Worker 7517220197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8703 W 151St St S
Sapulpa, OK 74066-1043
Phone (316) 305-6064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5705OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Peace Trauma Therapy LLC Clinical CurrentSince Feb 27, 2018 Accepting new patients

Locations

3015 E Skelly Dr
Ste 136
Tulsa, OK 74105
Phone (316) 305-6064

3015 E Skelly Dr
Ste 2114
Tulsa, OK 74105
Phone (316) 305-6064

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1760815187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8703 W 151ST ST S",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740661043",
            "telephone_number": "316-305-6064",
            "fax_number": "855-551-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8703 W 151ST ST S",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740661043",
            "telephone_number": "316-305-6064",
            "fax_number": "855-551-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCENTIRE UPHOLD",
        "first_name": "BRENDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "5705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200531130A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "MCENTIRE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sapulpa, OK

Sources for this page

Verify at the official NPI Registry.