Provider Demographics
NPI:1437144987
Name:EDKIN-TRIPLETT, SHEREE (SOCIAL WORKER)
Entity Type:Individual
Prefix:
First Name:SHEREE
Middle Name:
Last Name:EDKIN-TRIPLETT
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:SHEREE
Other - Middle Name:L
Other - Last Name:EDKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SOCIAL WORKER
Mailing Address - Street 1:4301 WILSON ST
Mailing Address - Street 2:
Mailing Address - City:FORT SILL
Mailing Address - State:OK
Mailing Address - Zip Code:73503-4472
Mailing Address - Country:US
Mailing Address - Phone:580-442-4678
Mailing Address - Fax:
Practice Address - Street 1:4301 WILSON ST
Practice Address - Street 2:
Practice Address - City:FORT SILL
Practice Address - State:OK
Practice Address - Zip Code:73503-4472
Practice Address - Country:US
Practice Address - Phone:580-442-4678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW0004877104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1497748743OtherGROUP NPI NUMBER / LRHSI
FLDA5786OtherRAILROAD GROUP MEDICARE NUMBER
FL1497748743OtherGROUP NPI NUMBER / LRHSI