Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PRODIGY FOUNDATION
Active OrganizationPRODIGY FOUNDATION is a Clinical Social Worker organization located in TAHLEQUAH, Oklahoma. NPI 1386665743 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · TAHLEQUAH, OK
Registration Details
- NPI Number
- 1386665743
- Provider Type
- Organization
- NPI Issued
- Jul 21, 2006 (20.043418749218 yrs)
- Last Updated
- Sep 11, 2025
Practice Information
- Address
-
1024 S MUSKOGEE AVETAHLEQUAH, OK, 744644734Browse OK providers · Browse ZIP 74464
- Phone
- 9184568399
- Fax
- 9184568773
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Professional Counselor
- Additional Specialty
- Clinical Social Worker
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.