CAILEY BREANNA MASTIN (LCSW) – Clinical Social Worker, NPI 1174028948

CAILEY BREANNA MASTIN (LCSW) is a healthcare provider. based in Norman, Oklahoma. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 20266 (OK). The NPI Number for CAILEY BREANNA MASTIN (LCSW) is 1174028948

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
CAILEY BREANNA MASTIN (LCSW)
NPI
1174028948
Phone
(918) 916-9609
Address
3733 24TH AVE SE APT 4
Enumeration Date
26 March 2018
Last Update Date
6 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4052084469
Graduation Year
2020 (6 years ago)
PAC ID
0345695136
Group Practice PAC ID
2264808211
Professional Enrollment ID
I20231013003232
Address ID
OK731603947MO620XXDXXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

628 CLINICAL SOCIAL WORKER in OK

Provider Addresses for CAILEY BREANNA MASTIN (LCSW)

  • 3733 24TH AVE SE APT 4

    NORMAN, OK 730713123

    Phone: (918) 916-9609

    Type: Mailing

  • 221 SW 141ST ST

    OKLAHOMA CITY, OK 731707249

    Phone: (918) 916-9609

    Type: Mailing

  • 620 NW 5TH ST STE D

    MOORE, OK 731603947

    Phone: (405) 208-4469

    Fax: (405) 208-4472

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231013003232IClinical Social WorkerOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73071)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264808211View full group profile
NameSpecialtyState
Clinical Social WorkerOK
Clinical Social WorkerOK
Mental Health CounselorOK
Mental Health CounselorOK
Marriage And Family TherapistOK
Clinical Social WorkerOK
Mental Health CounselorOK
Clinical Social WorkerIA
Mental Health CounselorOK
Mental Health CounselorOK

Reviews

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Frequently asked questions

What NPI should I save for CAILEY BREANNA MASTIN (LCSW)?
Save NPI 1174028948 if you need a stable reference for CAILEY BREANNA MASTIN (LCSW).
Does this profile mean CAILEY BREANNA MASTIN (LCSW) is currently active?
Yes — CAILEY BREANNA MASTIN (LCSW) appears active in the national provider directory.
Does CAILEY BREANNA MASTIN (LCSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for CAILEY BREANNA MASTIN (LCSW). Clinical services aligned with this taxonomy classification.
Where is CAILEY BREANNA MASTIN (LCSW)'s primary listing?
We display Norman, Oklahoma because that is what the record indicates for CAILEY BREANNA MASTIN (LCSW).
How can I contact CAILEY BREANNA MASTIN (LCSW)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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