SHONTA YANETTE CROWDER (NPI# 1538457569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538457569 |
| Entity Type | Individual |
| Full Name | SHONTA YANETTE CROWDER |
| Practice Address |
3606 Idaho Ave Bartlesville OK 74006-2420 |
| Mailing Address |
Po Box 3492 Bartlesville OK 74006-3492 |
| Practice Telephone | 9183378080 |
| Practice Fax Number | 9183378099 |
| Mailing Telephone | 9187666998 |
| Mailing Fax Number | 9188766030 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2020-05-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
5264 | OK | Behavioral Health & Social Service Providers |
| Street Address |
3606 IDAHO AVE |
| City | BARTLESVILLE |
| State | OK |
| Zip Code | 74006-2420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336770627 | Legacy's Impact Intervention L.l.c | Counselor | 3606 Idaho Ave, Bartlesville, OK 74006-2420 | 2020-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646252 | Ntcob LLC | Family Medicine | 234 Se De Bell Ave, Bartlesville, OK 74006 | 2020-07-06 |
| 1053936815 | Priscella Ann Caron | Nurse Practitioner | 226 Se De Bell Ave Building B, Bartlesville, OK 74006 | 2020-06-08 |
| 1508390840 | Megan Christopher | Student in an Organized Health Care Education/Training Program | 3400 Se Frank Phillips Blvd, Suite 502, Bartlesville, OK 74006 | 2017-04-13 |
| 1518339811 | Dori Raycob | Registered Nurse | 3400 Se Frank Phillips Blvd Suite 300, Bartlesville, OK 74006 | 2015-10-26 |
| 1023487436 | Katherine Marie Anderson | Nurse Practitioner | 3500 Sw Frank Phillips, Bartlesville, OK 74006 | 2015-09-16 |
| 1033593207 | Quanisha Roberson | Clinical Nurse Specialist | 226 Se De Bell Avenue, Building A, Suite 101, Bartlesville, OK 74006 | 2015-07-16 |
| 1588064604 | Vance Wayne Blackwell Jr. | Counselor | 2200 Se Washinton Blvd., Bartlesville, OK 74006 | 2014-08-26 |
| 1619314937 | Scott Ethan Sonico | Dentist | 1224 Se Washington Blvd, Bartlesville, OK 74006 | 2013-05-28 |
| 1417229485 | Vernon Lee Newby | Veterinarian | 817 Madison Blvd., Bartlesville, OK 74006 | 2012-02-06 |
| 1306083720 | Sherry M Wilson | Counselor | 3925-g Frank Phillips Blvd., Bartlesville, OK 74006 | 2009-01-08 |
| Find all providers in zip 74006 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336228683 | Kristy Lynne Pryce | Social Worker | 2200 Se Washington Blvd, Bartlesville, OK 74006-7135 | 2006-11-06 |
| 1134747827 | Brian Weaver Mclanahan | Social Worker | 700 S Penn Ave, Bartlesville, OK 74003-3847 | 2020-07-08 |
| 1700435450 | Misty Dawn Gonzales | Social Worker | 4200 Se Adams Rd, Bartlesville, OK 74006-8448 | 2019-09-05 |
| 1023661493 | James Luke Smith | Social Worker | 700 Sw Penn, Bartlesville, OK 74003-3847 | 2019-07-24 |
| 1558853994 | Brook Ladawn Chase | Social Worker | 700 Sw Penn, Bartlesville, OK 74003 | 2018-06-01 |
| 1881095206 | Dianna Cooley | Social Worker | 700 Sw Penn, Bartlesville, OK 74003-3847 | 2014-09-05 |
| 1861801102 | Layne Lunday | Social Worker | 700 Sw Penn, Bartlesville, OK 74003-3847 | 2014-08-12 |
| 1548697386 | Dana Suzanne Howard | Social Worker | 700 S Penn Ave, Bartlesville, OK 74003-3847 | 2013-10-10 |
| 1710229612 | Vanessa Lynn Brown | Social Worker | 700 S Penn Ave, Bartlesville, OK 74003-3847 | 2013-03-19 |
| 1558608901 | Casey Lea Martinez | Social Worker | 700 S Penn Ave, Bartlesville, OK 74003-3847 | 2013-01-04 |
| Find all providers in BARTLESVILLE | ||||
| City | BARTLESVILLE |
| Zip Code | 74006 |
Please comment or provide details below to improve the information on SHONTA YANETTE CROWDER.
| 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.