Individual provider Active NPI

Sherrie Dianna Effinger, LCSW

  • Clinical Social Worker
  • Yukon, OK
National Provider Identifier
1851687867
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4535 Issued in OK
Practice address
110 S 5TH St Ste 200
Yukon, OK 73099-2658
Phone
(405) 256-5996
NPI assigned
Jun 28, 2011
Last updated
Jun 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 4535 OK
Clinical Social Worker 1041C0700X 2021044898 MO
Clinical Social Worker 1041C0700X 4535 OK Primary

Addresses

Primary practice location

110 S 5TH St Ste 200
Yukon, OK 73099-2658

Mailing address

PO Box 10
Mustang, OK 73064-0010
Phone (405) 256-5996

Other identifiers 1

IdentifierTypeStateIssuer
200393610AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL smason@centerforpositivechange.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4535TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Positive Change, Inc. Current Accepting new patients
Center for Positive Change, Inc. Current Accepting new patients
Palmer Continuum of Care, Inc. PastSince Sep 20, 2020 Accepting new patients

Locations

110 S 5th St
Ste 200
Yukon, OK 73099
Phone (405) 256-5996

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, 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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1851687867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730640010",
            "telephone_number": "405-256-5996",
            "fax_number": "405-265-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S 5TH ST STE 200",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730992658",
            "telephone_number": "405-256-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFFINGER",
        "first_name": "SHERRIE",
        "middle_name": "DIANNA",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2022-06-27",
        "certification_date": "2021-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "4535",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2021044898",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "4535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200393610A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "smason@centerforpositivechange.net",
            "affiliation": "N",
            "address_1": "110 S 5th St Ste 200",
            "city": "Yukon",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730992658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.