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NPI Code Detail

MEDICARE: ALYSSA PRATT LCSW

MEDICARE:   ALYSSA  PRATT  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
1104100000XSocial Worker21447OK

General Provider Information

NPI Number : 1871221556
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA PRATT LCSW
Provider Business Mailing Address
First Line : 2633 NW 44TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-8216
Country : US
Telephone Number : 810-338-2571
Fax Number :
Provider Business Practice Location Address
First Line : 4334 NW EXPRESSWAY STE 151
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73116-1574
Country : US
Telephone Number : 405-593-8355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2022
Last Update Date : 03/15/2025

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Directions to “ ALYSSA PRATT LCSW” Practice Location

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