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DWAIN A PELLEBON PHD, LCSW
NPI 1720400351
Social Worker - Clinical in Norman, OK

Active since January 16, 2014PECOS EnrolledAccepts Medicare Assignment
2500 BOARDWALK STE 210, NORMAN, OK 73069(405) 857-8357(405) 857-1678 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2022, Jul 7, 2020, Jun 20, 2020 and 1 more (4 updates tracked since 2019).

About Dwain A Pellebon Phd, Lcsw NPPES

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

DWAIN A PELLEBON PHD, LCSW (NPI 1720400351) is an individual clinical provider in Norman, Oklahoma, licensed in Oklahoma (6098) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Oklahoma City, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1720400351
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDWAIN A PELLEBONCredential: PHD, LCSW
Location Address2500 BOARDWALK STE 210Norman, OK 73069-6593
Mailing Address2227 Iowa StNorman, OK 73069-6520 · (405) 255-8503 · Fax (405) 857-1678
Phone(405) 857-8357
Fax(405) 857-1678
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateJanuary 16, 2014
Last NPPES UpdateMay 18, 20224 updates tracked since enumeration
NPPES CertifiedMay 18, 2022
✔ NPI 1720400351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OK · 6098
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.
2500 BOARDWALK STE 210, Norman, OK 73069
Open in Google Maps ↗

Secondary Practice Location 1

Location 11330 N Classen Blvd, Suite 302Oklahoma City, OK 73106-6835 · Phone (405) 606-4441

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Dwain A Pellebon Phd, Lcsw 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 ID8729400585
PECOS Enrollment IDI20200624000992
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
295 services16 patients
Psychiatric services complicated by communication factor 90785
Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.
262 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73069 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

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

POSITIVE OUTCOMES THERAPEUTIC SERVICES, LLC
Social Worker (Clinical)
2500 BOARDWALK STE 210
NORMAN, OK 73069
Cleveland County (405) 857-8357

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 Dwain Pellebon's NPI number?

The NPI number for Dwain Pellebon is 1720400351. It was assigned to this individual provider in the NPPES registry on January 16, 2014.

Where is Dwain Pellebon located?

Dwain Pellebon practices at 2500 Boardwalk Ste 210, Norman, OK 73069. The listed phone number is (405) 857-8357.

What is Dwain Pellebon's specialty?

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

Is Dwain Pellebon enrolled in Medicare?

Yes. Dwain Pellebon 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 Dwain Pellebon accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Dwain Pellebon 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 Dwain Pellebon was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.