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VIRGINIA PEMBERTON PATTON KINKADE LCSW
NPI 1730311291
Social Worker - Clinical in Ada, OK

Active since August 18, 2009PECOS EnrolledAccepts Medicare Assignment
124 E MAIN ST SUITE 2, THE CHICKASAW NATION DEPT OF FAMILY SERVICES, ADA, OK 74820(580) 310-7993(405) 878-4708 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Aug 25, 2017 (2 updates tracked since 2017).

About Virginia Pemberton Patton Kinkade Lcsw NPPES

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

VIRGINIA PEMBERTON PATTON KINKADE LCSW (NPI 1730311291) is an individual clinical provider in Ada, Oklahoma, licensed in Oklahoma (4854) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1730311291
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameVIRGINIA PEMBERTON PATTON KINKADECredential: LCSW
Location Address124 E MAIN ST SUITE 2, THE CHICKASAW NATION DEPT OF FAMILY SERVICESAda, OK 74820
Mailing Address210 E Main St, Resource ManagementAda, OK 74820 · (580) 436-7211 · Fax (580) 272-5757
Phone(580) 310-7993
Fax(405) 878-4708
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 18, 2009
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1730311291 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 · 4854
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 ListedSocial WorkerTaxonomy 104100000X
124 E MAIN ST SUITE 2, Ada, OK 74820
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Virginia Pemberton Patton Kinkade 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 ID9931586468
PECOS Enrollment IDI20220522000085
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.

Medicare Billing Reassignment

Medicare enrollment records show Virginia Kinkade reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Biofeedback & Counseling, Inc.
0.7 mi
Professional
2100 N BROADWAY AVE
Ada, OK 74820
  • Reassigned Medicare billing, Oklahoma enrollment
  • 13 clinicians in this Medicare group
NPI 1023103082 (580) 436-7120

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74820 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.

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 Virginia Kinkade's NPI number?

The NPI number for Virginia Kinkade is 1730311291. It was assigned to this individual provider in the NPPES registry on August 18, 2009.

Where is Virginia Kinkade located?

Virginia Kinkade practices at 124 E Main St Suite 2 The Chickasaw Nation Dept Of Family Services, Ada, OK 74820. The listed phone number is (580) 310-7993.

What is Virginia Kinkade's specialty?

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

Is Virginia Kinkade enrolled in Medicare?

Yes. Virginia Kinkade 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.

Which organization bills Medicare for Virginia Kinkade's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Virginia Kinkade reassigns Medicare benefits to Biofeedback & Counseling, Inc. (Ada, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Virginia Kinkade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Virginia Kinkade was last updated on July 21, 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.