Richard Young Modenbach, LCSW
NPI 1053643429ActiveIndividual· Social Worker, Clinical· Tulsa, OK
Social Worker, Clinical (LCSW) with Tristesse Healing Hearts Grief, practicing in Tulsa, Oklahoma. Medicare paid $4,599 for services to 17 patients in 2024.
Overview
| NPI | 1053643429 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Feb 9, 2010 |
| Last updated in NPPES | Feb 9, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 1891 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 58 across 4 procedure codes |
| Paid by Medicare | $4,599 |
Education and affiliations
| Graduation year | 1972 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Tristesse Healing Hearts GriefTulsa, OK · 4 clinicians
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