Individual provider Active NPI

Kaylea Drapalla, LCSW

  • Clinical Social Worker
  • Enid, OK
National Provider Identifier
1760849533
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4783 Issued in OK
Practice address
702 N Grand St
Enid, OK 73701-3221
Phone
(580) 234-3791
Fax
(580) 237-7711
NPI assigned
Jan 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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 4783 OK Primary

Addresses

Primary practice location

702 N Grand St
Enid, OK 73701-3221

Mailing address

1222 10TH St
Suite 211
Woodward, OK 73801-3156
Phone (580) 256-8615

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
I20160414001169 OK Practitioner - Clinical Social Worker 6305144965 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Regional Medical Center Authority Current Accepting new patients
Fairview Regional Medical Center Authority Past Accepting new patients
Fairview Regional Medical Center Authority Past Accepting new patients

Locations

523 E State Rd
Fairview, OK 73737
Phone (580) 227-1334

519 E State Rd
Fairview, OK 73737
Phone (580) 227-1334

Organizations & group practices 3

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": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1760849533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 10TH ST",
            "address_2": "SUITE 211",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013156",
            "telephone_number": "580-256-8615",
            "fax_number": "580-256-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N GRAND ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737013221",
            "telephone_number": "580-234-3791",
            "fax_number": "580-237-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAPALLA",
        "first_name": "KAYLEA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "4783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.