Individual provider · Type 1 NPI

Myra J. Black, LCSW

Clinical Social Worker · Claremore, OK

NPI number 1528288735 Active

Practice location

17599 South Highway 88
Claremore, OK 74017

Fax (918) 342-9533

Mailing address

P.o. Box 1346
Claremore, OK 74018

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2992 (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 1528288735

Myra J. Black, LCSW's National Provider Identifier is 1528288735, issued on Apr 27, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Claremore, OK. The record was last updated on Jul 8, 2007.