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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA ELLEDGE, LCSW

Active

Clinical Social Worker · CLEVELAND, OK

Registration Details

NPI Number
1114124419
Provider Type
Individual
Gender
Female
NPI Issued
Jun 29, 2007 (18.851267126087 yrs)
Last Updated
Jul 8, 2007
License
1742 (OK)

Practice Information

Address
1401 W PAWNEE ST
CLEVELAND, OK, 740203033
Browse OK providers · Browse ZIP 74020
Phone
9183582501
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in CLEVELAND, OK

Name Credential NPI
DUSTIN JAMES LANG 1497247142
JORDAN MICHAEL WESTBROOK LCSW 1174093710
OLIVIA GRACE FARROW LMSW-P U/S 1730828781
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.