Marsha Cobell-Moore, MSW LCSW
Individual provider Active NPI Clinical Social Worker · Pawnee, OK
NPI 1891990214 · NPPES record last updated Jun 26, 2020
Key facts
- NPI
- 1891990214
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 5355 (OK)
- Practice address
- 1201 Heritage Cir
Pawnee, OK 74058-3744 - Phone
- (918) 762-2517
- Fax
- (918) 762-6646
- NPI assigned
- Jun 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pawnee Indian Health Center
Practice addresses (Care Compare)
1201 Heritage Cir
Pawnee, OK 74058-3744
Phone (918) 762-2517
Hospital & facility affiliations
- Lawton Indian Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160623000182 | OK | Practitioner - Clinical Social Worker | 8123319050 | Reassigns benefits to 1 organization |
| I20200730001226 | TX | Practitioner - Clinical Social Worker | 8123319050 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Pawnee Indian Health Center | Current |
Accepting new patients | |
| Creek Nation Hospital & Clinics | Current |
Accepting new patients | |
| Creek Nation Hospital & Clinics | Current |
Accepting new patients | |
| Pawnee IHS Pharmacy | Past |
Accepting new patients |
Locations
31870 E State Highway 51
Coweta, OK 74429
Phone (918) 279-3200
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
1313 E 20th St
Okmulgee, OK 74447
Phone (918) 591-5700
1201 Heritage Cir
Pawnee, OK 74058
Phone (918) 762-2517
1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310
Dept 1467
Tulsa, OK 74182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5355 | OK | Yes |
Addresses
Primary practice location
1201 Heritage Cir
Pawnee, OK 74058-3744
Mailing address
1201 Heritage Cir
Pawnee, OK 74058-3744
Phone (918) 762-2517
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 506807YPF5 | Medicaid | OK |
Other names
- Marsha Moore
Other providers in Pawnee, OK
- Kelli Christensen
- City of Pawnee
- Mee-Kai Clark
- Jace Clinkenbeard
- William Edward Clymer
- Cockrell Eyecare Center
- Melissa Coleman
- Peggy Coleman
- Emily E Collins
- Yvonne Maurine Collins
All providers in Pawnee, OK · Clinical Social Worker in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.