Individual provider Active NPI

Abby Harris, LCSW

  • Clinical Social Worker
  • Claremore, OK
National Provider Identifier
1821581703
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7547 Issued in OK
Practice address
1402 N Florence Ave Ste B
Claremore, OK 74017-3159
Phone
(918) 608-0380
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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 7547 OK Primary

Addresses

Primary practice location

1402 N Florence Ave Ste B
Claremore, OK 74017-3159

Mailing address

PO Box 521147
Tulsa, OK 74152-1147
Phone (918) 608-0380

Other practice location 1

1820 N Sioux Ave
Claremore, OK 74017-3133
Phone (918) 342-2080

Other names 1

  • Abby Hickman 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
I20201013001557 OK Practitioner - Clinical Social Worker 5193145191 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Mental Health, LLCGroup PAC ID 0345670733, 27 clinicians

Practice addresses (Care Compare)

1402 N Florence Ave
Suite B
Claremore, OK 74017-3159
Phone (918) 608-0380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Mental Health, LLC. CurrentSince Mar 1, 2026 Accepting new patients
Alliance Mental Health, LLC CurrentSince Sep 21, 2020 Accepting new patients
Alliance Mental Health Community Partnership CurrentSince Mar 1, 2026 Accepting new patients
Alliance Mental Health, LLC CurrentSince Sep 21, 2020 Accepting new patients
Creoks Mental Health Services Past Accepting new patients

Locations

1402 N Florence Ave
Ste B
Claremore, OK 74017
Phone 9186080380716

630 E Steve Owens Blvd
Ste 2
Miami, OK 74354
Phone (918) 544-6080

510 S Elliott St
Ste D
Pryor, OK 74361

8 S Elliott St
Pryor, OK 74361

217 N Water Ave
Tahlequah, OK 74464
Phone (886) 692-6590

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, 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": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1821581703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 521147",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741521147",
            "telephone_number": "918-608-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 N FLORENCE AVE STE B",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173159",
            "telephone_number": "918-608-0380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 N Sioux Ave",
            "address_purpose": "LOCATION",
            "city": "Claremore",
            "state": "OK",
            "postal_code": "740173133",
            "country_code": "US",
            "telephone_number": "918-342-2080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ABBY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "7547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "HICKMAN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Claremore, OK

Sources for this page

Verify at the official NPI Registry.