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KOURTNEY EAGLETON
NPI 1255985131
Social Worker - Clinical in Pryor, OK

Active since July 29, 2019
231 E GRAHAM AVE, PRYOR, OK 74361(844) 458-2100 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2025, Jul 29, 2019 (2 updates tracked since 2019).

About Kourtney Eagleton NPPES

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

KOURTNEY EAGLETON (NPI 1255985131) is an individual clinical provider in Pryor, Oklahoma, licensed in Oklahoma (21680) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1255985131
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKOURTNEY EAGLETON
Location Address231 E GRAHAM AVEPryor, OK 74361-2436
Mailing Address12005 E 470 RdClaremore, OK 74017-3737 · (918) 342-0770 · Fax (918) 342-0087
Phone(844) 458-2100
Sole ProprietorNo
Enumeration DateJuly 29, 2019
Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1255985131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OK · 21680
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
231 E GRAHAM AVE, Pryor, OK 74361
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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.

TRACY PRUITT
Case Manager/Care Coordinator
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
MICKI ERWIN
Licensed Practical Nurse
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (844) 458-2100
TEDDY ALLEN PENNYPACKER RN
Registered Nurse (Case Management)
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
HILARY NICOLE ADMIRE
Case Manager/Care Coordinator
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
JACQUELINE MARIE FLYNN
Counselor (Mental Health)
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
JO ANNE RENEE HENDERSON BA
Case Manager/Care Coordinator
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
SHANNON RENE' STABERS
Peer Specialist
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1406
LISA MIKSELL
Peer Specialist
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kourtney Eagleton's NPI number?

The NPI number for Kourtney Eagleton is 1255985131. It was assigned to this individual provider in the NPPES registry on July 29, 2019.

Where is Kourtney Eagleton located?

Kourtney Eagleton practices at 231 E Graham Ave, Pryor, OK 74361. The listed phone number is (844) 458-2100.

What is Kourtney Eagleton's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kourtney Eagleton was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.