MARY PEARSON ANDERSON (MSW) – Clinical Social Worker, NPI 1235167057

MARY PEARSON ANDERSON (MSW) is a healthcare provider. based in Owasso, Oklahoma. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW. They hold a License No. 1389 (OK). The NPI Number for MARY PEARSON ANDERSON (MSW) is 1235167057

Main info

Female
43 Years Of Experience
Accepts Medicare Assignment
Name
MARY PEARSON ANDERSON (MSW)
NPI
1235167057
Phone
(918) 607-9677
Address
10917 N 92ND EAST AVE
Enumeration Date
29 June 2006
Last Update Date
8 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4058424911
Graduation Year
1983 (43 years ago)
PAC ID
3577504711
Group Practice PAC ID
6608776349
Professional Enrollment ID
I20050608000269
Address ID
OK731168608OK4045XSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

628 CLINICAL SOCIAL WORKER in OK

Provider Addresses for MARY PEARSON ANDERSON (MSW)

  • 10917 N 92ND EAST AVE

    OWASSO, OK 740556541

    Phone: (918) 607-9677

    Fax: (877) 777-2249

    Type: Mailing

  • 4045 NW 64TH ST STE 520

    OKLAHOMA CITY, OK 731168608

    Phone: (405) 842-4911

    Fax: (877) 777-2249

    Type: Mailing

  • 4045 NW 64TH ST

    OKLAHOMA CITY, OK 731161684

    Phone: (405) 842-4911

    Fax: (405) 842-5807

    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: 2005-06-08

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
I20050608000269IClinical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour12918$0
90834Psychotherapy, 45 minutes9416$0
90832Psychotherapy, 30 minutes7514$0
90791Psychiatric diagnostic evaluation1818$0
View full utilization report →

Insurance plans in this area (ZIP 74055)

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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: 6608776349View full group profile
NameSpecialtyState
Clinical Social WorkerOK
Mental Health CounselorOK
Clinical Social WorkerOK
-OK
Clinical Social WorkerOK
Clinical Social WorkerOK
-OK
Mental Health CounselorOK
Clinical Social WorkerTX
Clinical Social WorkerOK

Reviews

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Frequently asked questions

How do payers reference MARY PEARSON ANDERSON (MSW)?
For MARY PEARSON ANDERSON (MSW), use NPI 1235167057 as the unique 10-digit identifier.
Is MARY PEARSON ANDERSON (MSW) shown as active in public data?
Registry records indicate MARY PEARSON ANDERSON (MSW) maintains an active NPI.
What area of care is associated with MARY PEARSON ANDERSON (MSW)?
MARY PEARSON ANDERSON (MSW)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MARY PEARSON ANDERSON (MSW)?
Travel planning: use Owasso, Oklahoma as the reference point for MARY PEARSON ANDERSON (MSW), then confirm.
Can I trust this NPI listing for MARY PEARSON ANDERSON (MSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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