OrganizationActive
Shawnee Medical Center Clinic, Inc
NPI 1205301231 · Social Worker · Shawnee, OK
Shawnee Medical Center Clinic, Inc is a Social Worker organization in Shawnee, OK (NPI 1205301231).
Provider details
- NPI number
- 1205301231
- Entity type
- Organization
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Crystal Pena, Insurance Credentialing Specialist(405) 272-7452
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3315 Kethley Rd
Shawnee, OK 74804-9638
Phone: (405) 273-5801
Fax: (405) 878-3794
Approximate (ZIP-level) locationGet directions
Mailing address
3315 Kethley Rd
Shawnee, OK 74804-9638
Other names (DBA / former)
- Doing business as
- Ssm Health Shawnee Behavorial Health Clinic
Registry dates
- Enumerated
- 2018-10-05
- Last updated
- 2018-10-05
Frequently asked questions
- What is Shawnee Medical Center Clinic, Inc's NPI number?
- Shawnee Medical Center Clinic, Inc's National Provider Identifier (NPI) is 1205301231, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shawnee Medical Center Clinic, Inc?
- Shawnee Medical Center Clinic, Inc is classified in the NPPES registry as Social Worker (Behavioral Health & Social Service Providers).
- Where is Shawnee Medical Center Clinic, Inc located?
- Shawnee Medical Center Clinic, Inc's practice location on file with NPPES is 3315 Kethley Rd, Shawnee, OK 74804-9638.
- What is Shawnee Medical Center Clinic, Inc's phone number?
- The practice phone number listed in the NPPES registry for Shawnee Medical Center Clinic, Inc is (405) 273-5801.
- Who is the authorized official for Shawnee Medical Center Clinic, Inc?
- The authorized official listed on Shawnee Medical Center Clinic, Inc's NPPES record is Crystal Pena, Insurance Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shawnee Medical Center Clinic, Inc's NPI active?
- Yes — Shawnee Medical Center Clinic, Inc's NPI (1205301231) is active in the NPPES registry as of the last update on 2018-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.