Individual provider · Type 1 NPI
Lisa Elledge, LCSW
Clinical Social Worker · Cleveland, OK
Practice location
1401 W Pawnee St
Cleveland, OK 74020-3033
Mailing address
RR 2 Box 435G
Cleveland, OK 74020-9671
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 1742 (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 1114124419
Lisa Elledge, LCSW's National Provider Identifier is 1114124419, issued on Jun 29, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cleveland, OK. The record was last updated on Jul 8, 2007.