Convergent Health LLC

Organization Active NPI Clinical Social Worker · Seminole, OK

NPI 1891584918 · NPPES record last updated Apr 29, 2026

Key facts

NPI
1891584918
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
CONVERGENT HEALTH LLC
Practice address
223 N 2ND St
Seminole, OK 74868-3455
Phone
(405) 303-5000
Fax
(405) 303-5002
NPI assigned
May 5, 2025
Organization subpart
No

Authorized official

Name
Linda Johns, LCSW
Title
Executive Director
Phone
(405) 303-5000

Practitioners 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OK

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20251128000102 OK Part B Supplier - Clinic/Group Practice 3375035256 Receives reassigned benefits from 1 practitioner
Practice locations: Seminole, OK

National Provider Directory

Locations

223 N 2nd St
Seminole, OK 74868
Phone (405) 303-5000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP
1041C0700X Yes

Addresses

Primary practice location

223 N 2ND St
Seminole, OK 74868-3455

Mailing address

223 N 2ND St
Seminole, OK 74868-3455
Phone (405) 303-5000

Other names

  • Convergent Health Other name

Other providers in Seminole, OK

All providers in Seminole, OK · Clinical Social Worker in Oklahoma

Sources for this page

Verify at the official NPI Registry.