OrganizationActive
Stacy a Dudark, Lcsw, Inc
NPI 1700180429 · Clinical Social Worker · Elgin, OK
Provider details
- NPI number
- 1700180429
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Stacy Dudark, Owner(580) 591-3693
- License
- 1919 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
202 a St
Elgin, OK 73538-2153
Phone: (580) 591-3693
Fax: (580) 454-8001
Street-level locationGet directions
Mailing address
6205 W Gore Blvd
Lawton, OK 73505-5836
Registry dates
- Enumerated
- 2011-01-10
- Last updated
- 2019-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.