Prodigy Foundation
NPI 1386665743ActiveOrganization· Social Worker, Clinical· Tahlequah, OK
Social Worker, Clinical in Tahlequah, Oklahoma, registered in NPPES in July 2006. The authorized official on file is Susan Hope Roberts, LPC, Director.
Overview
| NPI | 1386665743 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 21, 2006 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 19 clinical social workers in Tahlequah · All clinical social workers in Oklahoma