Individual provider Active NPI

Dane T. Libart, LCSW

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1992057699
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4386 Issued in OK
Practice address
1426 NW 38TH St
Oklahoma City, OK 73118-2813
Phone
(405) 595-7217
NPI assigned
Oct 5, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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 4386 OK Primary

Addresses

Primary practice location

1426 NW 38TH St
Oklahoma City, OK 73118-2813

Mailing address

1426 NW 38TH St
Oklahoma City, OK 73118-2813
Phone (405) 595-7217

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
I20211013003301 OK Practitioner - Clinical Social Worker 5294133765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1426 NW 38TH St
Oklahoma City, OK 73118-2813
Phone (405) 595-7217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dane Libart LCSW LLC Clinical CurrentSince Aug 11, 2021 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: danelibart@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1992057699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 NW 38TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731182813",
            "telephone_number": "405-595-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 NW 38TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731182813",
            "telephone_number": "405-595-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBART",
        "first_name": "DANE",
        "middle_name": "T.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "4386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.