Provider Demographics
NPI:1295627685
Name:NAGODE, ABIGAIL DENISE (LCSW)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:DENISE
Last Name:NAGODE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:
Other - Last Name:NAGODE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1540 S GARY AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-5224
Mailing Address - Country:US
Mailing Address - Phone:281-614-9875
Mailing Address - Fax:
Practice Address - Street 1:4870 S LEWIS AVE STE 250
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-5153
Practice Address - Country:US
Practice Address - Phone:918-205-4148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK216711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty