Individual provider · Type 1 NPI

Oteasa R. Gist, LCSW

Clinical Social Worker · Claremore, OK

NPI number 1174142194 Active

Practice location

3100 Medical Pkwy
Claremore, OK 74017-1088

Mailing address

904 W Kenosha St Ste 2
Broken Arrow, OK 74012-8917

Other practice locations

  • 904 W Kenosha St Ste 2, Broken Arrow, OK 74012-8917 · (918) 269-5058

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X8795 (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 1174142194

Oteasa R. Gist, LCSW's National Provider Identifier is 1174142194, issued on Apr 9, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Claremore, OK. The record was last updated on Feb 20, 2026.