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Nicholas Michael Dubriwny

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as NICHOLAS DUBRIWNY.

Based on the most recent information from CMS, provider Nicholas Michael Dubriwny is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:47 AM.

Profile Details

Provider ID
1295012144
Provider Type
Individual
Full Name
Dubriwny, Nicholas Michael
Title
Mr.
Credential
LCSW

Gender
Male
Sole Proprietor
No
Enumeration Date
11/7/2011
Last Updated
8/6/2024

Contact Information

Practice Location

6655 S Yale Ave, Tulsa, OK 74136-3326

(918) 491-3700

(918) 481-4063

Mailing Location

6655 S Yale Ave, Tulsa, OK 74136-3326

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 5894 Oklahoma

Nicholas Michael Dubriwny

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Avery, Zachary Hamilton

Goloby, Cort S

Wilson, Lucy Cianciolo

Miller, Susan

Burke, Joseph Henry

Price, Karin

Baughman, James R

Stone, Angel Dyan

Greenfield, Wilma Louise

Sarah West, Llc