Individual provider · Type 1 NPI

Glenn Howard Mayes, LCSW

Clinical Social Worker · Fort Sill, OK

NPI number 1508876749 Active

Practice location

Bldg. 4303 Pitman And Thomas
Fort Sill, OK 73503

Fax (580) 353-0340

Mailing address

1801 SW 68th St
Lawton, OK 73505-9030

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1197 (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 1508876749

Glenn Howard Mayes, LCSW's National Provider Identifier is 1508876749, issued on Aug 9, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Sill, OK. The record was last updated on Jul 8, 2007.