Clarissa Siragusa, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3005 Issued in OK

Practice address

402 E Moses St
Suite #108
Cushing, OK 74023-3331

Phone

(918) 225-0030

Fax

(918) 225-0540

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Melton Health and Medical Services

  dba Oklahoma NeuroPsychiatric Institute

  • Adult Mental Health Clinic/Center
  • Broken Arrow, OK
  • NPI 1134300049
  NPD (past)
• Utica Counseling, LLC

  dba Vickie C. Mackey-Shivel, LPC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tulsa, OK
  • NPI 1952541062
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952412447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E MOSES ST",
            "address_2": "SUITE #108",
            "city": "CUSHING",
            "state": "OK",
            "postal_code": "740233331",
            "telephone_number": "918-225-0030",
            "fax_number": "918-225-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E MOSES ST",
            "address_2": "SUITE #108",
            "city": "CUSHING",
            "state": "OK",
            "postal_code": "740233331",
            "telephone_number": "918-225-0030",
            "fax_number": "918-225-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRAGUSA",
        "first_name": "CLARISSA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simpson Chiropractic & Physical Therapy Center
• Simpson Physical Therapy Center
• Barbara Ann Simpson, HEARINGAIDSPECIALIST
• Kasey Paul Simpson, PT, DC
• Laura Lynn Simpson, PT
• Patrick Smith
• Christopher W Sorrels, M.D.
• Bryan C Spears, CRNA
• Spring Dental Cushing PLLC (Spring Dental Cushing)
• Laurel Elizabeth Stacy, DO

• Clinical Social Worker in Cushing, OK
• Providers in Cushing, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.