SHAWNEE MEDICAL CENTER CLINIC, INC
NPI 1205301231
Social Worker in Shawnee, OK

Q: What is Shawnee Medical Center Clinic, Inc's NPI number?

The NPI number for Shawnee Medical Center Clinic, Inc is 1205301231. It was assigned to this organization in the NPPES registry on October 5, 2018. The provider is doing business as SSM Health Shawnee Behavorial Health Clinic.

Q: What is Shawnee Medical Center Clinic, Inc's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Active since October 05, 2018

3315 KETHLEY RD, SHAWNEE, OK 74804(405) 273-5801(405) 878-3794 Get Directions Write a Review

NPPES record last updated: October 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shawnee Medical Center Clinic, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWNEE MEDICAL CENTER CLINIC, INC (NPI 1205301231), doing business as Ssm Health Shawnee Behavorial Health Clinic, is a healthcare organization registered as a social worker in Shawnee, Oklahoma and active in the NPI registry since October 2018. The organization lists Crystal L Pena, Insurance Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1205301231

Entity TypeOrganization

Primary Taxonomy104100000X

Legal Business NameSHAWNEE MEDICAL CENTER CLINIC, INC

Location Address3315 KETHLEY RDShawnee, OK 74804-9638

Mailing Address3315 Kethley RdShawnee, OK 74804-9638 · (405) 273-5801 · Fax (405) 878-3794

Phone(405) 273-5801

Fax(405) 878-3794

Organization SubpartNo

Authorized OfficialCrystal L PenaInsurance Credentialing Specialist · (405) 272-7452

Enumeration DateOctober 5, 2018

✔ NPI 1205301231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

3315 KETHLEY RD, Shawnee, OK 74804

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Other Names 1

Doing Business AsSsm Health Shawnee Behavorial Health Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEREMY PATRICK HOLTER MD

Internal Medicine