Audrey J Eldridge, B.S., BHRS
Individual provider Active NPI Social Worker · Seminole, OK
NPI 1104101708 · NPPES record last updated Oct 14, 2011
Key facts
- NPI
- 1104101708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 35169 Ew 1260
Seminole, OK 74868-5851 - Phone
- (405) 220-3951
- NPI assigned
- Oct 14, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes | ||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
35169 Ew 1260
Seminole, OK 74868-5851
Mailing address
35169 Ew 1260
Seminole, OK 74868-5851
Phone (405) 220-3951
Other providers in Seminole, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.