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

Theron Ogedengbe

Individual provider Clinical Social Worker · NPI 1578925681

Theron Ogedengbe is a Clinical Social Worker in Tahlequah, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

227 N Water Ave
Tahlequah, OK 74464-2825
Phone: (918) 207-0078
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1578925681
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 28, 2016
Last updated in NPPESMarch 28, 2016
Mailing address1330 E Allen Rd Apt 9, Tahlequah, OK 74464-2255

Other providers in Tahlequah