Prodigy Foundation in Tahlequah - Clinical
Prodigy Foundation - NPI 1386665743
Prodigy Foundation is a Clinical in Tahlequah, Oklahoma. Prodigy Foundation practices all healthcare services and medical treatments related to Clinical. The NPI Number for Prodigy Foundation is 1386665743. The last update date is 2020-08-22.
Prodigy Foundation's current location address is Po Box 1247, Tahlequah, Oklahoma. You can contact this provider via phone number 9184568399 and fax number 9184568773. The mailing address for Prodigy Foundation is Po Box 1247, Tahlequah, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prodigy Foundation |
|---|---|
| Address | Po Box 1247, Tahlequah, Oklahoma |
| Phone Number | 9184568399 |
| Fax Number | 9184568773 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Roberts Hope Susan |
| Credentials | LPC |
| Telephone Number | 9184568399 |
NPI Number Detail
| NPI Number | 1386665743 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 1247 |
|---|---|
| City | Tahlequah |
| State | Oklahoma (OK) |
| Post Code | 744651247 |
| Phone Number | 9184568399 |
| Fax Number | 9184568773 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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, certif |
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Post Comment/ Review Below
What is the Prodigy Foundation's 1386665743?
The Prodigy Foundation's NPI (National Provider Identifier) Number is 1386665743. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Prodigy Foundation is geographically located?
The Prodigy Foundation is physically situated at the following location: Po Box 1247, Tahlequah, OK, 744651247.
What is Prodigy Foundation's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Prodigy Foundation is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Prodigy Foundation receive the assignment of its 1386665743 from the Centers for Medicare & Medicaid Services?
The Prodigy Foundation was issued its 1386665743 by the Centers for Medicare & Medicaid Services on 2006-07-21.
As of what date were the details pertaining to Prodigy Foundation last refreshed?
The information related to the Prodigy Foundation, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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