Individual provider Active NPI

Toni M Hail, LCSW

  • Clinical Social Worker
  • Tahlequah, OK
National Provider Identifier
1871729087
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3196 Issued in OK
Practice address
310 W Keetoowah St
Tahlequah, OK 74464-3824
Phone
(918) 708-9558
Fax
(918) 708-9580
NPI assigned
Jun 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 3196 OK Primary

Addresses

Primary practice location

310 W Keetoowah St
Tahlequah, OK 74464-3824

Mailing address

PO Box 163
Tahlequah, OK 74465-0163
Phone (918) 207-7518

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
I20241009000123 OK Practitioner - Clinical Social Worker 3577094978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonya L Cornwell PHD Clinical Psychologist PLLCGroup PAC ID 8729410048, 2 clinicians

Practice addresses (Care Compare)

310 W Keetoowah St
Tahlequah, OK 74464-3824
Phone (918) 708-9558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3196OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sonya L Cornwell PHD Clinical Psychologist PLLC CurrentSince Sep 1, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1871729087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744650163",
            "telephone_number": "918-207-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W KEETOOWAH ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643824",
            "telephone_number": "918-708-9558",
            "fax_number": "918-708-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIL",
        "first_name": "TONI",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-02",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

Verify at the official NPI Registry.