Active NPI
Sherrie Dianna Effinger, LCSW
- Clinical Social Worker
- Yukon, OK
National Provider Identifier
1851687867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4535
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200393610A | Medicaid | OK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4535 | TX | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Positive Change, Inc. | Current | Accepting new patients | |
| Center for Positive Change, Inc. | Current | Accepting new patients | |
| Palmer Continuum of Care, Inc. | Past | 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.
-
- Counselor
- Yukon, OK
- NPI 1104909332
-
- Counselor
- Yukon, OK
- NPI 1265751325
-
dba Tulsa Women and Children's Center
- Substance Abuse Rehabilitation Facility
- Tulsa, OK
- NPI 1104049733
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.