MRS. CHARLOTTE JEAN BURROUGH (NPI# 1396732194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396732194 |
| Entity Type | Individual |
| Full Name | MRS. CHARLOTTE JEAN BURROUGH |
| Credential | LCSW |
| Practice Address |
16050 County Road 1565 Ada OK 74820-7911 |
| Mailing Address |
Po Box 126 Fittstown OK 74842-0126 |
| Practice Telephone | 5804369099 |
| Practice Fax Number | 5804369146 |
| Mailing Telephone | 5804369099 |
| Mailing Fax Number | 5804369146 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1805 | OK | Behavioral Health & Social Service Providers |
| Street Address |
16050 COUNTY ROAD 1565 |
| City | ADA |
| State | OK |
| Zip Code | 74820-7911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003075748 | Jana Jean Webb | Counselor | 16050 County Road 1565, Ada, OK 74820-7911 | 2008-06-06 |
| 1184745176 | Christian Counseling Plus Inc | Counselor | 16050 County Road 1565, Ada, OK 74820-7911 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361059 | Michele Koenes | Social Worker | 10560 Scenic Bluff Ln Se, Ada, MI 49301-8921 | 2020-09-18 |
| 1326608720 | Mary Zuidema Lmsw LLC | Social Worker | 938 Spaulding Ave Se, Ada, MI 49301 | 2019-06-18 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| 1639425747 | Gary W Watson | Social Worker | 975 Spaulding Ave Ste D., Ada, MI 49301 | 2012-07-25 |
| 1265768097 | Mary Kathryn Bennett | Social Worker | 983 Spaulding Ave. S.e., Ada, MI 49301 | 2009-10-29 |
| 1598904021 | Pat Alicia Joynt | Social Worker | 967 Spaulding Ave Se Ste E, Ada, MI 49301-3700 | 2009-02-06 |
| 1629118815 | Carol Seacord | Social Worker | 519 Ada Dr Se, Suite 103, Ada, MI 49301-9024 | 2007-02-07 |
| 1215081146 | Jennifer Jane Reintjes | Social Worker | 600 Hartfield Dr Se, Ada, MI 49301-7705 | 2007-01-22 |
| 1285748574 | Michelle Price | Social Worker | 3115 E. Arlington Blvd., Healthy Lifestyles, Ada, OK 74820 | 2006-08-17 |
| 1457967598 | Kelly Powers Gutierrez | Social Worker | 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2020-09-22 |
| Find all providers in ADA | ||||
Please comment or provide details below to improve the information on MRS. CHARLOTTE JEAN BURROUGH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.