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Heather Ray

Social Worker β€’ Ardmore, OK

Active NPI 1578012050 Individual Practitioner Female Practitioner
Practice location in NPPES

20 12th Ave Nw
Ardmore, OK 734015722

Call 5802233411 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

20 12th Ave Nw

Ardmore, OK 734015722

Telephone 5802233411
Fax 5802266213
Organization at the Same NPPES Address or Phone
Good Shepherd Community Clinic, Inc. Facility NPI 1285010413

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Ardmore and Oklahoma

6 active clinicians are listed under Social Worker with a practice address in Ardmore, OK (1,515 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-03-02
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
100728830 (OK)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Anita Alaniz , MSN, WHNP, FNP-C

Nurse Practitioner - Primary Care

NPI 1205973377

Master of Science in Nursing, Women's Health Nurse Practitioner, Family Nurse Practitioner (Certified)

Dr. Lance Mwangi , MD

Family Medicine

NPI 1730765298

Doctor of Medicine (M.D.)

Dr. Thomas Papin , MD

Internal Medicine

NPI 1134161821

Doctor of Medicine (M.D.)

Dr. Carson Shearer , DO

Internal Medicine

NPI 1093037087

Doctor of Osteopathic Medicine (D.O.)

NPI 1184282329

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location March 02, 2021

Registered at 20 12TH AVE NW, ARDMORE, OK 734015722 (Tel: 5802233411)

πŸ‘€
Provider Name / Credentials Updated March 02, 2021

Recorded as HEATHER RAY

βœ…
NPI Profile Active September 26, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 26, 2016

Registered at 2530 S COMMERCE ST, BUILDING C, ARDMORE, OK 734015519 (Tel: 5802265048)

πŸ“
Business Mailing Address (Initial Record) September 26, 2016

Registered at PO BOX 189, ARDMORE, OK 734020189 (Tel: 5802265048)

πŸ‘€
Provider Name / Credentials (Initial Record) September 26, 2016

Recorded as HEATHER KIMMEL

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2016

Counselor

🟒
Initial NPI Registration & Enumeration September 26, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1578012050
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2016
Last Update: March 02, 2021
Sole Proprietor: No

Other Social Workers in Ardmore

Healthcare providers in Ardmore

Mailing Address

Po Box 189

Ardmore, OK 734020189

Phone: 5802265048

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.