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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KRISTIN M. BROCK LCSW
NPI 1780949883
Social Worker - Clinical in Ponca City, OK

Active since July 05, 2012PECOS EnrolledAccepts Medicare Assignment
122 E GRAND AVE, PONCA CITY, OK 74601(580) 302-8270(580) 749-5682 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 9, 2026, Jul 21, 2022, Mar 17, 2018 and 4 more (7 updates tracked since 2017).

About Kristin M. Brock Lcsw NPPES

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

KRISTIN M. BROCK LCSW (NPI 1780949883) is an individual clinical provider in Ponca City, Oklahoma, licensed in Oklahoma (3832) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1780949883
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTIN M. BROCKCredential: LCSW
Location Address122 E GRAND AVEPonca City, OK 74601-5205
Mailing Address212 N Main StFairfax, OK 74637-3023 · (918) 642-3100 · Fax (918) 642-5639
Phone(580) 302-8270
Fax(580) 749-5682
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 5, 2012
Last NPPES UpdateSeptember 9, 20267 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1780949883 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 · 3832
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.
122 E GRAND AVE, Ponca City, OK 74601
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1212 N Main StFairfax, OK 74637-3023 · Phone (918) 642-3100 ext. 226 · Fax (918) 642-5639
Location 2716 S Highway 77Newkirk, OK 74647-7009 · Phone (580) 362-2555 · Fax (580) 362-2948
Location 3119 W Main StHominy, OK 74035-1031 · Phone (918) 885-4640 · Fax (918) 885-4644

Other Identifiers 2

Medicaid200446140AOK
Other287620YRHZOK · Medicare Ptan

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

Kristin M. Brock 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 ID6002055738
PECOS Enrollment IDI20130610000483
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 74601 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 4

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

FAIRFAX MEDICAL FACILITIES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
122 E GRAND AVE
PONCA CITY, OK 74601
Kay County (580) 203-8270
LISA ANN SEABRIDGE LCSW
Social Worker (Clinical)
122 E GRAND AVE
PONCA CITY, OK 74601
Kay County (580) 302-8270
KAYTI MOXLEY APRN-CNP
Nurse Practitioner (Family)
122 E GRAND AVE
PONCA CITY, OK 74601
Kay County (580) 302-8270
MELINDA ROTHER ALLEN DO
Internal Medicine
122 E GRAND AVE
PONCA CITY, OK 74601
Kay County (580) 302-8270

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 Kristin Brock's NPI number?

The NPI number for Kristin Brock is 1780949883. It was assigned to this individual provider in the NPPES registry on July 5, 2012.

Where is Kristin Brock located?

Kristin Brock practices at 122 E Grand Ave, Ponca City, OK 74601. The listed phone number is (580) 302-8270.

What is Kristin Brock's specialty?

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

Is Kristin Brock enrolled in Medicare?

Yes. Kristin Brock 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 Kristin Brock 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 6 other insurers list Kristin Brock 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 Kristin Brock was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.