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MS. EZRIKAI BROAM LCSW, LADC
NPI 1093951709
Social Worker - Clinical in Tulsa, OK

Active since December 30, 2008PECOS EnrolledAccepts Medicare Assignment
6216 S LEWIS AVE STE 180, TULSA, OK 74136(918) 960-7852(539) 664-5738 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Ezrikai Broam Lcsw, Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. EZRIKAI BROAM LCSW, LADC (NPI 1093951709) is an individual clinical provider in Tulsa, Oklahoma, licensed in Oklahoma (3928) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1093951709
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. EZRIKAI BROAMCredential: LCSW, LADC
Location Address6216 S LEWIS AVE STE 180Tulsa, OK 74136-1077
Mailing Address6216 S Lewis Ave Ste 180Tulsa, OK 74136-1077 · (918) 960-7852 · Fax (396) 645-7385
Phone(918) 960-7852
Fax(539) 664-5738
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 30, 2008
Last NPPES UpdateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1093951709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OK · 3928
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1039 (OK)
6216 S LEWIS AVE STE 180, Tulsa, OK 74136
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Other Names 1

Former Name (1)Lisa Weiche

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Ezrikai Broam Lcsw, Ladc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840444832
PECOS Enrollment IDI20130128000417
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.00 – $162.61
Typical copayment $0.00 (range $13.25 – $40.65)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEONARD SHEPHERD M.S.
Licensed Practical Nurse
6216 S LEWIS AVE STE 180
TULSA, OK 74136
Tulsa County (918) 812-6010
KATELYN QUATTLEBAUM
Counselor
6216 S LEWIS AVE STE 180
TULSA, OK 74136
Tulsa County (918) 960-7047
JULIA K STERR LMSW
Social Worker
6216 S LEWIS AVE STE 180
TULSA, OK 74136
Tulsa County (918) 960-7852
CINDY LAY LPC
Counselor
6216 S LEWIS AVE STE 180
TULSA, OK 74136
Tulsa County (918) 960-7852
DONNETH M BAILEY CM
Case Manager/Care Coordinator
6216 S LEWIS AVE STE 180
TULSA, OK 74136
Tulsa County (918) 960-7852
BARON WAYNE BUSTER
Case Manager/Care Coordinator
6216 S LEWIS AVE STE 180
TULSA, OK 74136
Tulsa County (918) 268-7365
JOAN SOO HAYHURST LPC
Counselor
6216 S LEWIS AVE STE 180
TULSA, OK 74136
Tulsa County (918) 960-7852
JENNIFFER CALLAWAY
Counselor (Professional)
6216 S LEWIS AVE STE 180
TULSA, OK 74136
Tulsa County (918) 960-7852

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ezrikai Broam's NPI number?

The NPI number for Ezrikai Broam is 1093951709. It was assigned to this individual provider in the NPPES registry on December 30, 2008. The provider is also known as Lisa Weiche.

Where is Ezrikai Broam located?

Ezrikai Broam practices at 6216 S Lewis Ave Ste 180, Tulsa, OK 74136. The listed phone number is (918) 960-7852.

What is Ezrikai Broam's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Ezrikai Broam enrolled in Medicare?

Yes. Ezrikai Broam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ezrikai Broam accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health, Oscar Insurance Company and UnitedHealthcare list Ezrikai Broam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ezrikai Broam was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.