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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB THOMAS HISELEY, PRSS, LMSW, U/S

Active

JACOB THOMAS HISELEY, PRSS, LMSW, U/S is a Social Worker healthcare provider located in TAHLEQUAH, Oklahoma. NPI 1821583402 is currently active in the NPPES registry. Verify at CMS.

Social Worker · TAHLEQUAH, OK

Registration Details

NPI Number
1821583402
Provider Type
Individual
Gender
Male
NPI Issued
Jun 26, 2018 (8.1533481009347 yrs)
Last Updated
Dec 29, 2025
Licenses
20902 (OK)
130888 (OK)

Practice Information

Address
1640 W KEETOOWAH ST
TAHLEQUAH, OK, 744643497
Browse OK providers · Browse ZIP 74464
Phone
9187089009
Primary Specialty
Social Worker
104100000X
Additional Specialty
Peer Specialist

Other Social Worker Providers in TAHLEQUAH, OK

Name Credential NPI
RACHEL HOWARD MSW, LMSW 1245436161
MR. ADAM CARROLL COTHRAN MSW 1144414764
MISTI D HANRAHAN MSW, MHP 1811206394
HILARY RENAE HUNT 1679831945
MISS AMANDA R PARISH 1225397953
ANA KIM 1457781312
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.