Individual provider · Type 1 NPI

Phyllis Gentry, LCSW

Clinical Social Worker · Norman, OK

NPI number 1003906157 Active

Practice location

930 N Flood Ave
Norman, OK 73069-7642

Mailing address

522 Trinidad Dr
Norman, OK 73072-5109

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0305 (OK)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003906157

Phyllis Gentry, LCSW's National Provider Identifier is 1003906157, issued on Oct 12, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Norman, OK. The record was last updated on Jul 8, 2007.