Stacy A Dudark, LCSW is a
Social Worker - Clinical based in Elgin, Oklahoma. Stacy A Dudark is licensed to practice in Oklahoma (license number 1919) and her current practice location is
202 A Street, Elgin, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(580) 591-3693.
NPI number for Stacy A Dudark is 1366746083 and her current mailing address is 10089 Ne 120th St, Elgin, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366746083.
Healthcare Provider's Profile
Full Name | Stacy A Dudark |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 202 A Street, Elgin, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366746083
- Provider Enumeration Date: 01/10/2011
- Last Update Date: 02/20/2019
Medical Identifiers
Medical identifiers for Stacy A Dudark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366746083 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 1919 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy A Dudark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stacy A Dudark, LCSW 10089 Ne 120th St, Elgin, OK 73538-3693 Ph: (580) 591-3693 | Stacy A Dudark, LCSW 202 A Street, Elgin, OK 73538-3693 Ph: (580) 591-3693 |
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