Individual provider Active NPI

Jane Montanaro

  • Clinical Social Worker
  • Chouteau, OK
National Provider Identifier
1992139869
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6064 Issued in OK
Practice address
1303 N Miami St
Chouteau, OK 74337-3765
Phone
(918) 289-0550
NPI assigned
Aug 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6064 OK Primary
Counselor 101Y00000X

Addresses

Primary practice location

1303 N Miami St
Chouteau, OK 74337-3765

Mailing address

1303 N Miami St
Chouteau, OK 74337-3765
Phone (918) 289-0550

Other practice location 1

3015 E Skelly Dr Ste 103
Tulsa, OK 74105-6344
Phone (888) 882-0859

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
I20220216002875 OK Practitioner - Clinical Social Worker 3870986706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Psychological Care of Oklahoma, LLCGroup PAC ID 7214311448, 7 clinicians

Practice addresses (Care Compare)

6202 E 61St St
Tulsa, OK 74136-2119
Phone 71385000491053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6064OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psychological Care of Oklahoma, LLC Clinical CurrentSince Apr 17, 2023 Accepting new patients

Locations

3434 Kentucky Pl
Bartlesville, OK 74006
Phone (918) 333-9000

6202 E 61st St
Tulsa, OK 74136
Phone (918) 477-7171

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777

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": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1992139869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 N MIAMI ST",
            "city": "CHOUTEAU",
            "state": "OK",
            "postal_code": "743373765",
            "telephone_number": "918-289-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 N MIAMI ST",
            "city": "CHOUTEAU",
            "state": "OK",
            "postal_code": "743373765",
            "telephone_number": "918-289-0550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3015 E Skelly Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741056344",
            "country_code": "US",
            "telephone_number": "888-882-0859",
            "fax_number": "918-388-9708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTANARO",
        "first_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "6064",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chouteau, OK

Sources for this page

Verify at the official NPI Registry.