Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivy Charlotte Wade

Individual provider Case Manager/Care Coordinator · NPI 1972212561

Ivy Charlotte Wade is a Case Manager/Care Coordinator in Ardmore, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

2530 S Commerce St Bldg B
Ardmore, OK 73401-5519
Phone: (802) 265-0485
Fax: (580) 226-3569
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1972212561
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 22, 2022
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023

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