PRODIGY FOUNDATION – Clinical Social Worker, NPI 1386665743

PRODIGY FOUNDATION is a healthcare provider. based in Tahlequah, Oklahoma. specializing in Clinical Social Worker. The NPI Number for PRODIGY FOUNDATION is 1386665743

Main info

Organization
Name
PRODIGY FOUNDATION
NPI
1386665743
Phone
(918) 456-8399
Address
PO BOX 1247
Authorized Official
SUSAN HOPE ROBERTS DIRECTOR LPC
Enumeration Date
21 July 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for PRODIGY FOUNDATION

  • Tahlequah Post Office, 3rd Street, Plaza, Tahlequah, Cherokee County, Oklahoma, 74464, United States

    TAHLEQUAH, OK 744651247

    Phone: (918) 456-8399

    Fax: (918) 456-8773

    Type: Mailing

  • 1024, South Muskogee Avenue, Tahlequah, Cherokee County, Oklahoma, 74464, United States

    TAHLEQUAH, OK 744644734

    Phone: (918) 456-8399

    Fax: (918) 456-8773

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74465)

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Reviews

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Frequently asked questions

What NPI should I save for PRODIGY FOUNDATION?
Save NPI 1386665743 if you need a stable reference for PRODIGY FOUNDATION.
Is PRODIGY FOUNDATION's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is PRODIGY FOUNDATION?
The page reflects Clinical Social Worker for PRODIGY FOUNDATION. Clinical services aligned with this taxonomy classification.
What location metadata exists for PRODIGY FOUNDATION?
The page summarizes Tahlequah, Oklahoma for PRODIGY FOUNDATION; expand the address list for detail.
Is PRODIGY FOUNDATION a real provider?
This page reflects official NPPES data for NPI 1386665743. Always confirm identity and privileges with the practice and licensing boards.

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