Individual provider · Type 1 NPI

Tracey Middleton Jennings, MSW, LCSW, LADC

Clinical Social Worker · Broken Arrow, OK

NPI number 1124346317 Active

Practice location

8937 S Garnett Rd
Broken Arrow, OK 74012-6004

Call (918) 872-9777 Map

Fax (918) 872-9779

Mailing address

2990 N Sioux Ave
Claremore, OK 74017-3700

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400X1033 (OK)
Clinical Social Worker 1041C0700X3963 (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 1124346317

Tracey Middleton Jennings, MSW, LCSW, LADC's National Provider Identifier is 1124346317, issued on May 12, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Broken Arrow, OK. The record was last updated on Jul 12, 2016.