Syreta Mason
Individual provider Active NPI Social Worker · Haskell, OK
NPI 1871852525 · NPPES record last updated May 15, 2012
Key facts
- NPI
- 1871852525
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 405 E Pine St
Haskell, OK 74436-1021 - Phone
- (918) 724-6071
- NPI assigned
- May 15, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
405 E Pine St
Haskell, OK 74436-1021
Mailing address
PO Box 1021
Haskell, OK 74436-1021
Other providers in Haskell, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2012. 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.