NPI 1124346317

Tracey Middleton Jennings, MSWLCSWLADC

Practitioner Clinical Social Worker Broken Arrow, OK

Practice location

Address: 8937 S Garnett Rd, Broken Arrow, OK 74012-6004
Phone: (918) 872-9777
Fax: (918) 872-9779
Mailing address: 2990 N Sioux Ave, Claremore, OK 74017-3700

Registered specialties (3)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Other Social Worker providers in Oklahoma →

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 1033 (OK)

Other Counselor providers in Oklahoma →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 3963 (OK)

Registry record

NPI: 1124346317
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 May 2010
Record last updated: 12 Jul 2016

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.