Individual provider Active NPI

Susan Miller, MSW, LCSW

  • Clinical Social Worker
  • Tulsa, OK
National Provider Identifier
1841704301
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1422 Issued in OK
Practice address
2502 E 71St St
Tulsa, OK 74136-5531
Phone
(918) 587-1200
Fax
(918) 712-7399
NPI assigned
Nov 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

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 1422 OK Primary

Addresses

Primary practice location

2502 E 71St St
Tulsa, OK 74136-5531

Mailing address

2502 E 71St St
Tulsa, OK 74136-5531
Phone (918) 587-1200

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
I20180403002920 OK Practitioner - Clinical Social Worker 5890058887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tristesse Healing Hearts GriefGroup PAC ID 3577824754, 4 clinicians

Practice addresses (Care Compare)

2502 E 71St St
Tulsa, OK 74136-5531
Phone (918) 587-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1422OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Tristesse Grief Center Inc Clinical CurrentSince Feb 4, 2018 Accepting new patients

Locations

2502 E 71st St
Tulsa, OK 74136
Phone (918) 587-1200

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": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1841704301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 E 71ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741365531",
            "telephone_number": "918-587-1200",
            "fax_number": "918-712-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 E 71ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741365531",
            "telephone_number": "918-587-1200",
            "fax_number": "918-712-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SUSAN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "1422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.