Provider Demographics
NPI:1912262999
Name:SHARPTON, KYLENE (LCSW)
Entity Type:Individual
Prefix:
First Name:KYLENE
Middle Name:
Last Name:SHARPTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KYLENE
Other - Middle Name:
Other - Last Name:WHITEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1222 10TH ST STE 211
Mailing Address - Street 2:
Mailing Address - City:WOODWARD
Mailing Address - State:OK
Mailing Address - Zip Code:73801-3156
Mailing Address - Country:US
Mailing Address - Phone:580-256-9700
Mailing Address - Fax:580-256-9704
Practice Address - Street 1:5050 WILLIAMS AVE
Practice Address - Street 2:
Practice Address - City:WOODWARD
Practice Address - State:OK
Practice Address - Zip Code:73801-7713
Practice Address - Country:US
Practice Address - Phone:580-256-9700
Practice Address - Fax:580-256-9704
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-06
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical