NPI 1154817542 · live from the CMS NPI Registry
Jayde Elayne Agbo
Social Worker, Clinical in Claremore, OK. National Provider Identifier 1154817542, active.
NPI record
| NPI | 1154817542 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 3100 Medical Pkwy, Claremore, OK 74017 |
| Practice phone | 918-934-8235 |
| Enumerated | July 9, 2018 |
| Last updated | January 12, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 21945 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.