STACY A DUDARK, LCSW, INC (NPI# 1700180429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700180429 |
| Entity Type | Organization |
| Organization Name | STACY A DUDARK, LCSW, INC |
| Practice Address |
202 A St Elgin OK 73538-2153 |
| Mailing Address |
6205 W Gore Blvd Lawton OK 73505-5836 |
| Practice Telephone | 5805913693 |
| Practice Fax Number | 5804548001 |
| Mailing Telephone | 5805363900 |
| Mailing Fax Number | 5805363902 |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2019-02-20 |
| Authorized Official Name | STACY DUDARK (OWNER) |
| Authorized Official Telephone | 5805913693 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1919 | OK | Behavioral Health & Social Service Providers |
| Street Address |
202 A ST |
| City | ELGIN |
| State | OK |
| Zip Code | 73538-2153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912002627 | Michelle Adrian Matthey | Social Worker | 202 A St, Elgin, OK 73538-2153 | 2006-09-14 |
| 1720227499 | Jennifer Rae Glover | Counselor | 202 A St, Elgin, OK 73538 | 2009-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196966 | Kellen J Allen | Physical Therapist | 922 North A St, Elgin, OK 73538 | 2020-08-26 |
| 1184183873 | Daystar Counseling & Consulting Services, LLC | Community/Behavioral Health | 7846 Us-277, Suite 3, Elgin, OK 73538 | 2019-03-13 |
| 1821444126 | Elizabeth Foster | Case Manager/Care Coordinator | 1103 4th Pl, Elgin, OK 73538 | 2016-05-05 |
| 1992044044 | Christie Arnold Leal | Family Medicine | 7939 Us Hwy 277, Elgin, OK 73538 | 2013-02-10 |
| 1184991820 | Tanja N Weddington | Counselor | 219 Ne Sunset Dr, Elgin, OK 73538 | 2011-11-23 |
| 1124271887 | Elgin Physical Therapy, Pllc | Physical Therapist | 7602 Us Highway 277, Elgin, OK 73538 | 2008-10-28 |
| 1811182132 | Victory Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 8209 Hwy 277 Ste C, Victory Medical Equipment LLC, Elgin, OK 73538 | 2007-09-10 |
| 1255478723 | Victory Medical Equipment | Durable Medical Equipment & Medical Supplies | 104 Thoma Drive, Suite 3, Elgin, OK 73538 | 2007-01-31 |
| 1760566293 | Lewis J Litwack | Family Medicine | 7936 Us Hwy 277, Elgin, OK 73538 | 2006-10-24 |
| 1932299401 | Elgin Public Schools | Local Education Agency (LEA) | 721 J St., Elgin, OK 73538 | 2006-10-13 |
| Find all providers in zip 73538 | ||||
| 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 |
|---|---|---|---|---|
| 1083223648 | Adalizeth Martinez | Social Worker | 2520 Watermark Ter Unit 309, Elgin, IL 60124-3013 | 2020-07-29 |
| 1073173191 | Gregory Schauble | Social Worker | 2055 Royal Blvd, Elgin, IL 60123-2532 | 2019-06-20 |
| 1245794171 | Austin Charles Kuhn | Social Worker | 116 Elmwood Blvd N, Elgin, SC 29045-8215 | 2019-01-24 |
| 1942774518 | Terri L Lee | Social Worker | 3070 Mosedale St, Elgin, IL 60124-8943 | 2019-01-17 |
| 1497237226 | Maureen Obrien Floyd | Social Worker | 40w570 Stonecrest Dr, Elgin, IL 60124-8153 | 2018-08-29 |
| 1366945883 | L'oreal Desiree Nunez | Social Worker | 505 N Avenue F, Elgin, TX 78621-2217 | 2018-03-11 |
| 1215483979 | Kelly Fetherling | Social Worker | 6912 S Main St., Elgin, IL 60120 | 2016-08-31 |
| 1376933952 | Katharine Hansen | Social Worker | 1319 Pappas Dr, Elgin, IL 60123-1226 | 2015-02-03 |
| 1508255746 | Kunume Onwueme | Social Worker | 1133 Huntwyck Ct, Elgin, IL 60120-5105 | 2015-01-12 |
| 1447599618 | Patricia Cline | Social Worker | 37w105 Olwin Dr, Elgin, IL 60124-4841 | 2013-02-07 |
| Find all providers in ELGIN | ||||
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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.