Chrysalis Health Services P.C.

Social Worker, Clinical in Oklahoma City, OK. Organization (NPI-2).

NPI number1780975375

StatusActive

Last updated in NPPESApr 29, 2011

Details

NPI: 1780975375
Entity type: Organization (NPI-2)
Legal business name: Chrysalis Health Services P.C.
Organization subpart: No
Enumeration date: Apr 29, 2011
Last updated: Apr 29, 2011

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1041C0700X	Social Worker, Clinical	3950	OK	Yes

Practice location

3033 N Walnut Ave
West Building, 2nd Floor (Miraworx)
Oklahoma City, OK 73105-2832

Phone 405-230-1183

Mailing address

3033 North Walnut
Oklahoma City, OK 73105

Phone 405-230-1183

Authorized official

David Nickell
Therapist/Owner
4052301183

Is something wrong?

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Other Clinical Social Worker providers in Oklahoma City, OK

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