Solid Rock Life Therapy Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SOLID ROCK LIFE THERAPY SERVICES, LLC

Practice address

9753 N 52ND West Ave
Sperry, OK 74073-4032

Phone

(918) 949-5965

NPI assigned

Oct 30, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Victoria McDaniel-Tracy, LCSWNPI 1427393669

Title

Owner

Phone

(918) 949-5965

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victoria D McDaniel-Tracy, LCSW

  • Clinical Social Worker
  • Sperry, OK
  • NPI 1427393669
  NPD Authorized official

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1629678461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9753 N 52ND WEST AVE",
            "city": "SPERRY",
            "state": "OK",
            "postal_code": "740734032",
            "telephone_number": "918-949-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9753 N 52ND WEST AVE",
            "city": "SPERRY",
            "state": "OK",
            "postal_code": "740734032",
            "telephone_number": "918-949-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLID ROCK LIFE THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL-TRACY",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-949-5965",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria D McDaniel-Tracy, LCSW
• Hazel Arlene Mosier
• Michelle Marie Norris, OT
• Miranda Nicole Scholz, DDS
• Justen Brent Smith, DDS
• Chris A Taylor, BHRS

• Clinical Social Worker in Sperry, OK
• Providers in Sperry, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.