SAMUEL TYRONE WOODFORK JR. FPRSS - NPI 1336964055

Q: What is Samuel Woodfork's NPI number?

The NPI number for Samuel Woodfork is 1336964055. It was assigned to this individual provider in the NPPES registry on November 18, 2024.

Q: What is Samuel Woodfork'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 Samuel Woodfork was last updated on November 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Samuel Tyrone Woodfork Jr. Fprss NPPES

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

SAMUEL TYRONE WOODFORK JR. FPRSS (NPI 1336964055) is an individual peer specialist in Norman, Oklahoma and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1336964055

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameSAMUEL TYRONE WOODFORK JR.Credential: FPRSS

Location Address1120 E MAIN STNorman, OK 73071-5300

Mailing Address1120 E Main StNorman, OK 73071-5300 · (405) 360-5100

Phone(405) 360-5100

Sole ProprietorNo

Enumeration DateNovember 18, 2024

NPPES CertifiedNovember 18, 2024

✔ NPI 1336964055 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.

1120 E MAIN ST, Norman, OK 73071

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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.

MS. NAOMI HANKINS LPC

Counselor (Professional)