Organization · Type 2 NPI

Mirissa Beavers LCSW LLC

Clinical Social Worker · Woodward, OK

NPI number 1194655290 Active

Practice location

1011 Texas St
Woodward, OK 73801-3127

Fax (580) 205-2038

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1194655290

Mirissa Beavers LCSW LLC's National Provider Identifier is 1194655290, issued on May 20, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Woodward, OK. The record was last updated on May 20, 2026.