SETH PALMER DESTEFANO - NPI 1285417055 - Peer Specialist in Claremore, OK

Q: What is Seth Destefano's NPI number?

The NPI number for Seth Destefano is 1285417055. It was assigned to this individual provider in the NPPES registry on August 16, 2023.

Q: What is Seth Destefano's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Seth Destefano was last updated on August 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Seth Palmer Destefano NPPES

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

SETH PALMER DESTEFANO (NPI 1285417055) is an individual peer specialist in Claremore, Oklahoma and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1285417055

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameSETH PALMER DESTEFANO

Location Address3100 MEDICAL PKWYClaremore, OK 74017-1088

Mailing Address3100 Medical PkwyClaremore, OK 74017-1088 · (539) 242-3322

Phone(539) 242-3322

Sole ProprietorNo

Enumeration DateAugust 16, 2023

NPPES CertifiedAugust 16, 2023

✔ NPI 1285417055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

3100 MEDICAL PKWY, Claremore, OK 74017

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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.

REBECCA JEAN LATTY

Case Manager/Care Coordinator