Individual provider Active NPI

Samantha Lee Pryor, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Eufaula, OK
National Provider Identifier
1376708271
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2809 Issued in OK
Practice address
RR 1 Box 131C
Eufaula, OK 74432-9223
Phone
(918) 452-3133
Fax
(918) 452-3939
NPI assigned
Jul 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2809 OK Primary

Addresses

Primary practice location

RR 1 Box 131C
Eufaula, OK 74432-9223

Mailing address

PO Box 1440
Eufaula, OK 74432-1451
Phone (918) 617-2845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2809OKMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Medical Services, L.L.C. Clinical PastSince Jan 1, 2003 Accepting new patients
Seasons Counseling and Consultation PLLC Clinical PastSince Dec 10, 2010 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1376708271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1440",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744321451",
            "telephone_number": "918-617-2845",
            "fax_number": "918-452-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 131C",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744329223",
            "telephone_number": "918-452-3133",
            "fax_number": "918-452-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYOR",
        "first_name": "SAMANTHA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "2809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eufaula, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.