MEDICARE: MRS. ANDREA NICOLE CAPLINGER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	3938	OK

General Provider Information

NPI Number	:	1376894121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANDREA NICOLE CAPLINGER LCSW

Provider Business Mailing Address
First Line	:	5009 N PENNSYLVANIA AVE
Second Line	:	STE 116
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-8888
Country	:	US
Telephone Number	:	405-843-1551
Fax Number	:	405-843-1494

Provider Business Practice Location Address
First Line	:	5009 N PENNSYLVANIA AVE
Second Line	:	STE 116
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-8888
Country	:	US
Telephone Number	:	405-843-1551
Fax Number	:	405-843-1494

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2012
Last Update Date	:	08/10/2017

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