NPI 1386017374 · live from the CMS NPI Registry
Dawn Ballew
Social Worker, Clinical in Tahlequah, OK. National Provider Identifier 1386017374, active.
NPI record
| NPI | 1386017374 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 315 N College Ave, Tahlequah, OK 74464 |
| Practice phone | 918-453-1171 |
| Mailing address | 19216 W Pettit Bay Rd, Park Hill, OK 74451 |
| Enumerated | November 12, 2015 |
| Last updated | November 12, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 4951 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.