NPI 1073738100

Watt Osage, LCSW

Practitioner Clinical Social Worker Muskogee, OK

Practice location

Address: 1700 W Broadway St, Muskogee, OK 74401-3340
Phone: (918) 681-4201
Mailing address: PO Box 77, Welling, OK 74471-0077

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 3803 (OK)

Other Social Worker providers in Oklahoma →

Registry record

NPI: 1073738100
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Apr 2007
Record last updated: 5 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.