Organization · Type 2 NPI
Greenside Prairies LLC
Clinical Social Worker · Edmond, OK
Practice location
3104 NW 184th St
Edmond, OK 73012-9650
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None 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 1770466682
Greenside Prairies LLC's National Provider Identifier is 1770466682, issued on Jul 28, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Edmond, OK. The record was last updated on Jul 28, 2025.