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Legacy'S Impact Intervention L.L.C

Clinical Social Worker in Bartlesville, OK · enumerated 2020 · authorized official Shonta Crowder, Director/Therapist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336770627

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Registry record

Entity type Organization (Type 2)
Legal business name Legacy'S Impact Intervention L.L.C
Practice address 3606 Idaho Ave, Bartlesville, OK, 74006
Phone (918) 766-6998
Enumeration date Jan 27, 2020
Last updated in NPPES Jan 27, 2020

Taxonomy & classification

101YP2500X Professional Counselor Behavioral Health & Social Service Providers Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Primary
261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Secondary
261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary
261QM0855X Adolescent and Children Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Shonta Crowder
Title Director/Therapist
Phone (918) 766-6998

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Legacy'S Impact Intervention L.L.C?
NPPES lists Shonta Crowder (Director/Therapist) as the authorized official for this organization.
What is the NPI number for Legacy'S Impact Intervention L.L.C?
The NPI for Legacy'S Impact Intervention L.L.C is 1336770627, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-01-27.