Look up the most recent NPI and PECOS records

Amy Foreman

Social Worker

Behavioral Health & Social Service Providers

6440 S Lewis Ave Ste 2200, Tulsa, OK 74136-1060

PECOS Enrollment

Based on the most recent information from CMS, provider Amy Foreman 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
1396154704
Provider Type
Individual
Full Name
Foreman, Amy
Gender
Female

Sole Proprietor
No
Enumeration Date
8/11/2014
Last Updated
6/18/2025

Contact Information

Practice Location

6440 S Lewis Ave Ste 2200, Tulsa, OK 74136-1060

(918) 712-0859

Unlisted Fax

Mailing Location

1601 Old South River Rd, Saint Charles, MO 63303-4120

(636) 224-1210

(636) 246-1008

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 5891 Oklahoma
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License 2021011486 Missouri

Provider Identifiers

ID	Description	Issuer
ID 100746170G	Description Medicaid	Issuer Unlisted Oklahoma

Amy Foreman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Humphrey, Melinda D

Verdel, Sharon Kay

Duckworth, Aaron L

Mohr, Mimi Kathryn

Moody, Ramona S

Goloby, Cort S

Miller, Susan

Hurst, Ann R

Evans, Dina K

Burke, Joseph Henry