KELLY MEREDITH (NPI# 1427595669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427595669 |
| Entity Type | Individual |
| Full Name | KELLY MEREDITH |
| Practice Address |
411 S Central Ave Idabel OK 74745-6059 |
| Practice Telephone | 5802865045 |
| Mailing Telephone | 5802865045 |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538176151 | Kelly M Meredith | Chiropractor | 1228 Se Port St Lucie Blvd, Port Saint Lucie, FL 34952-5330 | 2006-08-03 |
| Street Address |
411 S CENTRAL AVE |
| City | IDABEL |
| State | OK |
| Zip Code | 74745-6059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740344290 | Sequelcare of Oklahoma, LLC | Clinic/Center | 411 S Central Ave, Idabel, OK 74745-6059 | 2006-12-20 |
| 1912506254 | Kara Olfert | Social Worker | 411 S Central Ave, Idabel, OK 74745-6059 | 2020-10-19 |
| 1184197626 | Dayna Natasha Erickson | Health Educator | 411 S Central Ave, Idabel, OK 74745-6059 | 2019-01-08 |
| 1184109902 | Amber Clarice Bond | Health Educator | 411 S Central Ave, Idabel, OK 74745-6059 | 2018-09-27 |
| 1134604945 | Kimberly Rose Battiest | Licensed Practical Nurse | 411 S Central Ave, Idabel, OK 74745-6059 | 2018-09-27 |
| 1922583863 | Samantha Lynn Burke | Case Manager/Care Coordinator | 411 S Central Ave, Idabel, OK 74745-6059 | 2018-09-26 |
| 1538653126 | Marisa Mullins | Case Manager/Care Coordinator | 411 S Central Ave, Idabel, OK 74745-6059 | 2018-06-18 |
| 1871080424 | Ann Marie Treser-stephens | Counselor | 411 S Central Ave, Idabel, OK 74745-6059 | 2018-04-19 |
| 1871000877 | Tina Marie Clark | Peer Specialist | 411 S Central Ave, Idabel, OK 74745-6059 | 2017-12-29 |
| 1164947024 | Toya Robbins | Health Educator | 411 S Central Ave, Idabel, OK 74745-6059 | 2017-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568957348 | Home Run Healthcare | Family Medicine | 1425 East Lincoln Road, Suite A-3, Idabel, OK 74745 | 2018-06-25 |
| 1720457203 | Leann Tomlinson | Registered Nurse | 2002 E Lincoln Rd, Idabel, OK 74745 | 2015-09-15 |
| 1659795508 | Laura Rush | Optometrist | 902 Lincoln Road, Idabel, OK 74745 | 2014-02-13 |
| 1619301116 | White River Home Health | Home Health | 2100 East Washington Street Ste D, Idabel, OK 74745 | 2013-09-03 |
| 1922440999 | John Phillip Stone Scoggin | Counselor | 111 Canterbury Lane, Idabel, OK 74745 | 2013-07-19 |
| 1841576725 | Ayesha Shante Wyatt | Nurse's Aide | 1800 Hillcrest, Idabel, OK 74745 | 2011-10-24 |
| 1154569457 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 6 Southeast Avenue A, Idabel, OK 74745 | 2009-01-26 |
| 1417103854 | John Hoskins | Internal Medicine | 902 Lincoln Rd, Choctaw Nation Health Clinic, Idabel, OK 74745 | 2008-08-18 |
| 1801077045 | Rhonda Cheryl Rodgers | Counselor | 104 Ne Ave A, Idabel, OK 74745 | 2007-11-15 |
| 1326241548 | Beverly Gayle Jasper-hayes | Counselor | 104 Ne A - Avenue, Idabel, OK 74745 | 2007-06-06 |
| Find all providers in zip 74745 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841714144 | Harborbend Counseling Pllc | Social Worker | 112 Se Ave N, Idabel, OK 74745-5234 | 2017-07-28 |
| 1790055846 | Misty Dawn Stuart | Social Worker | 617 Se Ave F, Idabel, OK 74745-6216 | 2012-01-06 |
| 1225297781 | Laura M Turner | Social Worker | 1605 Pecan Dr, Idabel, OK 74745-8020 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041147 | Coley Fipps | Social Worker | 3308 Grant Rd, Norman, OK 73071-2905 | 2020-10-22 |
| 1275154304 | Holly F Nguyen Therapy LLC | Social Worker | 1901 N Moore Ave Ste 15, Moore, OK 73160-3612 | 2020-04-29 |
| 1578191961 | Bonnie Sue Harman | Social Worker | 3 Nw Bent Tree Cir, Lawton, OK 73505-9532 | 2020-03-31 |
| 1700411170 | Braden Bowles | Social Worker | 1841 Exchange Ave, Oklahoma City, OK 73108-3022 | 2020-03-06 |
| 1114551900 | Carpenter Lcsw Pllc | Social Worker | 1212 S Air Depot Blvd Ste 19a, Midwest City, OK 73110-4873 | 2020-03-02 |
| 1619501061 | Terry Snow | Social Worker | 600 Sw 134th St, Oklahoma City, OK 73170-7307 | 2020-02-25 |
| 1104459395 | Mary Madonna LLC | Social Worker | 5808 Nw 109th St, Oklahoma City, OK 73162-5836 | 2020-02-17 |
| 1376182337 | Tina Francis Counseling, LLC | Social Worker | 4870 S Lewis Ave Ste 125, Tulsa, OK 74105-5141 | 2019-12-22 |
| 1295373777 | Heartland Resolution Therapy, LLC | Social Worker | 4821 S Sheridan Rd Ste 217, Tulsa, OK 74145-5716 | 2019-12-16 |
| 1356989883 | Neil Anthony Weathers | Social Worker | 700 S Telephone Rd Ste 301, Moore, OK 73160-2547 | 2019-12-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.