JACOB THOMAS HISELEY PRSS LMSW U/S NPI 1821583402

NPI Information

  • NPI: 1821583402
  • Provider Name: JACOB THOMAS HISELEY, PRSS, LMSW, U/S
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • Address: 1640 W KEETOOWAH ST
    TAHLEQUAH, OK
    ZIP 74464
  • Phone: (918) 708-9009

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NPI Details

Jacob Thomas Hiseley, PRSS, LMSW, U/S is a social worker in Tahlequah, OK. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Jacob Thomas Hiseley, PRSS, LMSW, U/S NPI is 1821583402. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1640 W KEETOOWAH ST
TAHLEQUAH, OK
ZIP 74464-497
Phone: (918) 708-9009

The enumeration date for this NPI number is 6/26/2018 and was last updated on 12/29/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial Worker20902OKLAHOMAYes
2175T00000XPeer Specialist130888OKLAHOMANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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