Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Richard Young Modenbach, LCSW

Individual provider Clinical Social Worker · NPI 1053643429

Mr. Richard Young Modenbach, LCSW is a Clinical Social Worker in Tulsa, Oklahoma. Qualified in 1972, 54 years ago. Practices with Tristesse Healing Hearts Grief, a 4-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
54
Licensed in
OK
In the registry since
2010
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

744 W 9th St 8th Fl
Tulsa, OK 74127-9020
Phone: (918) 599-5730
Fax: (918) 599-5859
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1891 (OK)

Record details

NPI number1053643429
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 9, 2010
Last updated in NPPESFebruary 9, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1972 (54 years in practice)
Group practice Tristesse Healing Hearts Grief — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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