Individual provider · Type 1 NPI

Danielle C. Bolivar

Clinical Social Worker · Wagoner, OK

NPI number 1285546499 Active

Practice location

109 S Harrill Ave
Wagoner, OK 74467-5317

Call (918) 485-0242 Map

Fax (918) 485-0204

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 1285546499

Danielle C. Bolivar's National Provider Identifier is 1285546499, issued on Sep 22, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wagoner, OK. The record was last updated on Sep 22, 2026.