MEDICARE: NURIAN CLAY CABALLERO

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	104100000X	Social Worker
2	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1720461429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NURIAN CLAY CABALLERO

Provider Business Mailing Address
First Line	:	7805 E 55TH ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74145-7816
Country	:	US
Telephone Number	:	918-859-0472
Fax Number	:

Provider Business Practice Location Address
First Line	:	512 W ATLANTA ST
Second Line	:
City	:	BROKEN ARROW
State	:	OK
Zip	:	74012-7004
Country	:	US
Telephone Number	:	918-280-9104
Fax Number	:

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

Provider Enumeration Date	:	06/30/2015
Last Update Date	:	06/30/2015

Similar Medicare Providers

1427614213 — BRITTNEY SOLEM
Practice Location Address:

504 W ATLANTA ST
BROKEN ARROW, OK
74012-7004

Practice Phone: 918-615-6620
Practice Fax:

1881012409 — BRIGHTER DIMENSIONS, LLC
Practice Location Address:

514 W ATLANTA ST
BROKEN ARROW, OK
74012-7004

Practice Phone: 918-280-9104
Practice Fax: 918-609-2850

1134527617 — MELISSA WITHROW
Practice Location Address:

514 W ATLANTA ST
BROKEN ARROW, OK
74012-7004

Practice Phone: 918-280-9104
Practice Fax: 918-609-2850

1992205140 — MRS. VONDY C FLETCHER MS, LCPC
Practice Location Address:

504 W ATLANTA ST
BROKEN ARROW, OK
74012-7004

Practice Phone: 702-907-0741
Practice Fax: 539-367-5088

1083231724 — BROKEN ARROW PEDIATRIC BEHAVIORAL HEALTH LLC
Practice Location Address:

502 W ATLANTA ST
BROKEN ARROW, OK
74012-7004

Practice Phone: 918-752-4403
Practice Fax:

1639783012 — RELFECTIONS BEHAVIORAL HEALTH
Practice Location Address:

502 W ATLANTA ST
BROKEN ARROW, OK
74012-7004

Practice Phone: 918-752-4403
Practice Fax:

Directions to “ NURIAN CLAY CABALLERO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.