NPI

Traci Kane Anderson

NPI 1598174096

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Credential
LCSW
Type
Individual
Enumeration date
2014-08-08
Last updated
2014-08-08

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Specialties

Licenses

License OK
3505

Location

Practice location
25198 Hickory Ln
City
Broken Arrow OK
Postal code
74014-3402
Phone
(918) 279-6324

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Clinical Social Workers in Broken Arrow, OK. 44 with this primary taxonomy in the public file.

Other NPIs in Broken Arrow, OK. 2,338 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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