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

Individual provider Mental Health Counselor · NPI 1568174993

Kodilyn Shoemake, LCSW-P is a Mental Health Counselor in Muskogee, Oklahoma. Qualified in 2020, 6 years ago. Licensed in Oklahoma.

Years since qualifying
6
Licensed in
OK
In the registry since
2022
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Practice location Address checks out

619 N Main St
Muskogee, OK 74401-4431
Phone: (918) 682-8407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 7443 (OK)

Record details

NPI number1568174993
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-P
Sole proprietorNo
NPI enumeratedDecember 16, 2022
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Muskogee