Look up the most recent NPI and PECOS records

Misty Mcconahy

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Misty Mcconahy does not have current enrollment records in PECOS.

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

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

Profile Details

Provider ID
1447555222
Provider Type
Individual
Full Name
Mcconahy, Misty
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/25/2011
Last Updated
1/25/2011

Contact Information

Practice Location

1027 E 66th Pl, Tulsa, OK 74136-3701

(918) 492-8200

(918) 492-4075

Mailing Location

6262 S Sheridan Rd, Tulsa, OK 74133-4055

(918) 492-8200

(918) 493-3268

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 3654 Oklahoma

Provider Identifiers

ID	Description	Issuer
ID 3654	Description Other	Issuer STATE LICENSE Oklahoma

Misty Mcconahy

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Humphrey, Melinda D

Dada, Syzyline Diana

Duckworth, Aaron L

Price, Karin

Burnshire, Julie Marie

Baughman, James R

Aragon, Jeremy Scott

Barrett, Marla Christine

Knox, Merrie L

Brown, Teresa