Individual provider · Type 1 NPI

Kristin M. Brock, LCSW

Clinical Social Worker · Ponca City, OK

NPI number 1780949883 Active

Practice location

122 E Grand Ave
Ponca City, OK 74601-5205

Call (580) 302-8270 Map

Fax (580) 749-5682

Mailing address

212 N Main St
Fairfax, OK 74637-3023

Other practice locations

  • 212 N Main St, Fairfax, OK 74637-3023 · (918) 642-3100
  • 716 S Highway 77, Newkirk, OK 74647-7009 · (580) 362-2555
  • 119 W Main St, Hominy, OK 74035-1031 · (918) 885-4640

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X3832 (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…

4 other providers at this address

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About NPI 1780949883

Kristin M. Brock, LCSW's National Provider Identifier is 1780949883, issued on Jul 5, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ponca City, OK. The record was last updated on Sep 9, 2026.