Individual provider · Type 1 NPI

Mirissa Joy Beavers

Clinical Social Worker · Oklahoma City, OK

NPI number 1013553163 Active

Practice location

4400 N Lincoln Blvd
Oklahoma City, OK 73105-5104

Mailing address

3457 Robin Dr
Woodward, OK 73801-3941

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700X8848 (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 1013553163

Mirissa Joy Beavers's National Provider Identifier is 1013553163, issued on Nov 25, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oklahoma City, OK. The record was last updated on May 29, 2026.