Organization · Type 2 NPI

Phoenix Gate Inc

Clinical Social Worker · Atoka, OK

NPI number 1639227028 Active

Practice location

211 E Court St Ste 6
Atoka, OK 74525-2000

Fax (580) 364-0701

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X256 (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…

About NPI 1639227028

Phoenix Gate Inc's National Provider Identifier is 1639227028, issued on Jan 8, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Atoka, OK. The record was last updated on Aug 22, 2020.