AYODOLLE ELLIS (NPI# 1760926349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760926349 |
| Entity Type | Individual |
| Full Name | AYODOLLE ELLIS |
| Practice Address |
400 S Broadway # 3 Edmond OK 73034-3848 |
| Practice Telephone | 4055137360 |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
400 S BROADWAY # 3 |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-3848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346847472 | Jill Saranga | Social Worker | 8024 Blackbird Ln, Edmond, OK 73034-9029 | 2020-10-01 |
| 1730666363 | Rebecca Lynn Storey | Social Worker | 2600 Greenfield Dr, Edmond, OK 73012-6528 | 2018-07-26 |
| 1295276731 | Shane Lietch Mccarty | Social Worker | 609 Rolling Hills Ter, Edmond, OK 73012-6611 | 2017-03-16 |
| 1528410206 | Christine Kay Carllson | Social Worker | 309 Carmel Valley Way, Edmond, OK 73025-2748 | 2016-07-06 |
| 1760854749 | Edith Marie Gilyard | Social Worker | 2313 Nw 199th St, Edmond, OK 73012-5217 | 2015-10-29 |
| 1023403946 | Kaitlin Pope | Social Worker | 19804 Harness Ct, Edmond, OK 73012-3412 | 2015-03-30 |
| 1184014821 | Stephen Bridewell | Social Worker | 614 E 27th Pl, Edmond, OK 73013-5219 | 2015-02-03 |
| 1144632498 | Ontwaneece Freeman | Social Worker | 39 E 33rd St, Edmond, OK 73013-4604 | 2014-05-21 |
| 1184044919 | Patrick Mcgarry | Social Worker | 15512 Juniper Dr, Edmond, OK 73013-8842 | 2014-04-19 |
| 1639514508 | Lia C Faber | Social Worker | 1313 Nw 183rd Ter, Edmond, OK 73012-4065 | 2013-05-06 |
| Find all providers in EDMOND | ||||
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| 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.