Active NPI
Andrew Duffy
- Clinical Social Worker
- Tulsa, OK
National Provider Identifier
1831555044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6708
- Practice address
- 11740 E 21St St
Tulsa, OK 74129-1820 - Phone
- (918) 437-9495
- NPI assigned
- Jan 5, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6708 | OK | Primary |
| Social Worker | 104100000X |
Addresses
Primary practice location
11740 E 21St St
Tulsa, OK 74129-1820
Mailing address
650 S Peoria Ave
Tulsa, OK 74120-4429
Phone (918) 587-9741
Other practice location 1
6655 S Yale Ave
Tulsa, OK 74136-3326
Phone (918) 491-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200664150A | Medicaid | OK |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.86 of 100
- Quality
- 85.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family & Children'S Services, Inc | Past | Accepting new patients | |
| Family & Children'S Services, Inc | Past | Accepting new patients |
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.
-
- Psychiatric Hospital
- Tulsa, OK
- NPI 1710985064
-
- Community/Behavioral Health Agency
- Tulsa, OK
- NPI 1699989202
-
- Case Management Agency
- Tulsa, OK
- NPI 1932311495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1831555044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 S PEORIA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741204429",
"telephone_number": "918-587-9741",
"fax_number": "918-650-1399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11740 E 21ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741291820",
"telephone_number": "918-437-9495"
}
],
"practiceLocations": [
{
"address_1": "6655 S Yale Ave",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741363326",
"country_code": "US",
"telephone_number": "918-491-3700",
"fax_number": "918-481-4063",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUFFY",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-05",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "6708",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200664150A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.