1. Home
  2. Directory
  3. Oklahoma
  4. Tahlequah
  5. Social Worker
  6. NPI Profile

PRODIGY FOUNDATION
NPI 1386665743
Social Worker - Clinical in Tahlequah, OK

Active since July 21, 2006
1024 S MUSKOGEE AVE, TAHLEQUAH, OK 74464(918) 456-8399(918) 456-8773 Get Directions Write a Review

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

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Prodigy Foundation NPPES

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

PRODIGY FOUNDATION (NPI 1386665743) is a healthcare organization registered as a clinical in Tahlequah, Oklahoma and active in the NPI registry since July 2006. The organization lists Susan Hope Roberts, Director, as its authorized official.

NPPES Registry Identity

NPI1386665743
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePRODIGY FOUNDATION
Location Address1024 S MUSKOGEE AVETahlequah, OK 74464-4734
Mailing AddressPo Box 1247Tahlequah, OK 74465-1247 · (918) 456-8399 · Fax (918) 456-8773
Phone(918) 456-8399
Fax(918) 456-8773
Organization SubpartNo
Authorized OfficialSusan Hope RobertsDirector · (918) 456-8399
Enumeration DateJuly 21, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1386665743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
1024 S MUSKOGEE AVE, Tahlequah, OK 74464
Open in Google Maps ↗

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 2

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

MRS. TERESA L. BORREMANS RN
Registered Nurse (Psychiatric/Mental Health)
1024 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 456-8399
PRODIGY FOUNDATION
Community/Behavioral Health
1024 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 456-8399

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 Prodigy Foundation's NPI number?

The NPI number for Prodigy Foundation is 1386665743. It was assigned to this organization in the NPPES registry on July 21, 2006.

Where is Prodigy Foundation located?

Prodigy Foundation is located at 1024 S Muskogee Ave, Tahlequah, OK 74464. The listed phone number is (918) 456-8399.

What is Prodigy Foundation'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 Prodigy Foundation was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.