Healthcare Provider Details

I. General information

NPI: 1023953064
Provider Name (Legal Business Name): NATALIE L TROUP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SCHATZIE TROUP LMSW

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 W SOUTH AVE
PONCA CITY OK
74601-6133
US

IV. Provider business mailing address

407 W SOUTH AVE
PONCA CITY OK
74601-6133
US

V. Phone/Fax

Practice location:
  • Phone: 918-346-3307
  • Fax:
Mailing address:
  • Phone: 918-346-3307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number22345
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: