Taylor Autumn Andoe, LMSW
NPI 1528686151ActiveIndividual· Social Worker, Clinical· Pryor, OK
Social Worker, Clinical (LMSW) with Grand Lake Mental Health Center, Inc., practicing in Pryor, Oklahoma. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1528686151 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMSW |
| Sole proprietor | No |
| NPI issued | Jul 9, 2020 |
| Last updated in NPPES | Aug 17, 2021 |
| Certified by provider | Aug 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
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) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Grand Lake Mental Health Center, Inc.Tulsa, OK · 127 clinicians
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