Desirea Coon, B.S.W.

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

429 N Union Ave
Shawnee, OK 74801-7019

Phone

(405) 275-1844

NPI assigned

Sep 13, 2020

Last updated

Sep 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Creoks Mental Health Services

  dba TruHealth Integrated Care

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1710583372
  NPD (past)

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

{
    "created_epoch": "1599955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599955200000",
    "number": "1780299065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 JEFFERSON ST",
            "city": "SEMINOLE",
            "state": "OK",
            "postal_code": "748683140",
            "telephone_number": "405-584-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 N UNION AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748017019",
            "telephone_number": "405-275-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COON",
        "first_name": "DESIREA",
        "name_prefix": "Ms.",
        "credential": "B.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-13",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leon A Conkling, DDS
• Karen Ann Conley, LPTA
• David Cook, PHD
• David Cooksey
• Rachel Diane Cooley, P.T.
• Leslie Jo Coots, BS
• Billy Wayne Copeland
• Woodson Lee Coplen, M.ED., LMFT,LADC/MH
• Zachery Aaron Coplen
• Christopher Neal Corbin, DDS

• Social Worker in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.