Elizabeth Page Brockwell, LCSW
Social Worker, Clinical in Tulsa, OK. Individual provider (NPI-1).
NPI number1861694523
StatusActive
Last updated in NPPESOct 4, 2018
Details
- NPI
- 1861694523
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Page Brockwell
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 4, 2007
- Last updated
- Oct 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 5868 | OK | Yes |
| 1041C0700X | Social Worker, Clinical | LCS 28348 | CA |
Practice location
6655 S Yale AveTulsa, OK 74136-3326
Phone 918-491-3700 · Fax 918-491-5740
Mailing address
7701 Warner Ave#q237
Huntington Beach, CA 92647-4773
Phone 714-517-6318
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