Individual provider Active NPI

Nakisha Hall, MSW

  • Social Worker
  • Moore, OK
National Provider Identifier
1851010052
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8650 Issued in OK
Practice address
620 NW 5TH St Ste D
Moore, OK 73160-3947
Phone
(405) 208-4469
Fax
(405) 208-4472
NPI assigned
Aug 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8650 OK Primary

Addresses

Primary practice location

620 NW 5TH St Ste D
Moore, OK 73160-3947

Mailing address

18800 Rolling Hill Way
Edmond, OK 73012-5804
Phone (202) 412-1510

Other practice location 1

3500 S Boulevard Ste 3B
Edmond, OK 73013-5417
Phone (405) 208-4469

Other practice location 2

6803 S Western Ave Ste 404
Oklahoma City, OK 73139-1814
Phone (405) 208-4469

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http.www.itsofok.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20251211002961 DC Practitioner - Clinical Social Worker 8729572235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Oklahoma College of Medicine, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1300 Mercantile LN
Suite 150
Largo, MD 20774-5347

600 Fairmont Dr
Apt 201
Bowie, MD 20716-3567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8650OKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Therapy Solutions of Oklahoma, LLC CurrentSince Oct 3, 2022 Accepting new patients
Infinite Wellness Maryland CurrentSince Nov 21, 2025 Accepting new patients

Locations

8843 Greenbelt Rd
Greenbelt, MD 20770
Phone (202) 689-4398

1300 Mercantile Ln
Ste 150
Largo, MD 20774
Phone (301) 701-5576

3500 S Boulevard
Ste 3B
Edmond, OK 73013
Phone (572) 218-4190

620 NW 5th St
Ste D
Moore, OK 73160

6803 S Western Ave
Ste 404
Oklahoma City, OK 73139
Phone (405) 600-6446

Organizations & group practices 2

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": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1851010052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 ROLLING HILL WAY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730125804",
            "telephone_number": "202-412-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 NW 5TH ST STE D",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731603947",
            "telephone_number": "405-208-4469",
            "fax_number": "405-208-4472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 S Boulevard Ste 3B",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730135417",
            "country_code": "US",
            "telephone_number": "405-208-4469",
            "fax_number": "405-208-4472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6803 S Western Ave Ste 404",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731391814",
            "country_code": "US",
            "telephone_number": "405-208-4469",
            "fax_number": "405-208-4472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "NAKISHA",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OK",
            "license": "8650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http.www.itsofok.com",
            "affiliation": "N",
            "endpointDescription": "secure company website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "milan medical and theranest",
            "address_1": "620 NW 5th St Ste D",
            "city": "Moore",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731603947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.