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Prodigy Foundation
Clinical Social Worker in Tahlequah, Oklahoma
NPI 1386665743

Prodigy Foundation is a Clinical Social Worker based in Tahlequah, OK and is specialized in Clinical. Prodigy Foundation practices in Tahlequah, OK. The NPI Number for Prodigy Foundation is 1386665743 and holds a License No. (Oklahoma).

The current practice location address for Prodigy Foundation is 1024 S Muskogee Ave, Tahlequah, OK and can be reached out via phone at 918-456-8399 and via fax at 918-456-8773. You can also correspond with Prodigy Foundation through the mailing address at PO BOX 1247, TAHLEQUAH, OK - 74465-1247 (mailing address contact number: 918-456-8399).

Location: 1024 S Muskogee Ave, Tahlequah, OK, 74465-1247
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386665743
Provider Name
Prodigy Foundation
Credential
Provider Entity Type
Organization
Address
1024 S Muskogee Ave, Tahlequah, OK, 74465-1247
Phone Number
918-456-8399
Fax Number
918-456-8773
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1024 S Muskogee Ave
City
Tahlequah
State
Oklahoma
Zip
74464-4734
Phone Number
918-456-8399
Fax Number
918-456-8773
person
Provider Business Mailing Address Details
Address
Po Box 1247
City
Tahlequah
State
Oklahoma
Zip
74465-1247
Phone Number
918-456-8399
Fax Number
918-456-8773
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
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.
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