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LEGACY'S IMPACT INTERVENTION L.L.C
NPI 1336770627
Social Worker - Clinical in Bartlesville, OK

Active since January 27, 2020
3606 IDAHO AVE, BARTLESVILLE, OK 74006(918) 766-6998 Get Directions Write a Review

NPPES record last updated: January 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy's Impact Intervention L.l.c NPPES

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

LEGACY'S IMPACT INTERVENTION L.L.C (NPI 1336770627) is a healthcare organization registered as a clinical in Bartlesville, Oklahoma and active in the NPI registry since January 2020. The organization lists Shonta Crowder, Director/therapist, as its authorized official.

NPPES Registry Identity

NPI1336770627
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLEGACY'S IMPACT INTERVENTION L.L.C
Location Address3606 IDAHO AVEBartlesville, OK 74006-2420
Mailing Address3606 Idaho AveBartlesville, OK 74006-2420 · (918) 766-6998
Phone(918) 766-6998
Organization SubpartNo
Authorized OfficialShonta CrowderDirector/therapist · (918) 766-6998
Enumeration DateJanuary 27, 2020
✔ NPI 1336770627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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 ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
3606 IDAHO AVE, Bartlesville, OK 74006
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Other Names 1

Doing Business AsLegacy's Impact Intervention L.l.c

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

SHONTA YANETTE CROWDER
Social Worker
3606 IDAHO AVE
BARTLESVILLE, OK 74006
Washington County (918) 337-8080

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 Legacy's Impact Intervention L.L.C's NPI number?

The NPI number for Legacy's Impact Intervention L.L.C is 1336770627. It was assigned to this organization in the NPPES registry on January 27, 2020.

Where is Legacy's Impact Intervention L.L.C located?

Legacy's Impact Intervention L.L.C is located at 3606 Idaho Ave, Bartlesville, OK 74006. The listed phone number is (918) 766-6998.

What is Legacy's Impact Intervention L.L.C'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 Legacy's Impact Intervention L.L.C was last updated on January 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.