Individual provider · Type 1 NPI
Javey T. Dallas, M.S.W., L.C.S.W.
Clinical Social Worker · Oklahoma City, OK
Practice location
5909 Vixen Way
Oklahoma City, OK 73142-4802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 3759 (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 1629308408
Javey T. Dallas, M.S.W., L.C.S.W.'s National Provider Identifier is 1629308408, issued on Dec 30, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oklahoma City, OK. The record was last updated on Dec 30, 2009.