Individual provider · Type 1 NPI

Lori Kim Childs, LMSW-P

Clinical Social Worker · Wagoner, OK

NPI number 1083124739 Active

Practice location

109 S Harrill Ave
Wagoner, OK 74467-5317

Mailing address

2214 S Indianwood Ave
Broken Arrow, OK 74012-0935

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6099-P (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 1083124739

Lori Kim Childs, LMSW-P's National Provider Identifier is 1083124739, issued on Oct 9, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wagoner, OK. The record was last updated on Oct 9, 2017.