Charlene Beaver, LCSW

Individual provider Active NPI Clinical Social Worker · Lawton, OK

NPI 1760071203 · NPPES record last updated Sep 3, 2026

Key facts

NPI
1760071203
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
7364 (OK)
Practice address
1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3099
Phone
(580) 354-5120
Fax
(580) 354-5125
NPI assigned
Jan 11, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7364OKMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7364 OK Yes

Addresses

Primary practice location

1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3099

Mailing address

1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3099
Phone (580) 354-5120

Other providers in Lawton, OK

All providers in Lawton, OK · Clinical Social Worker in Oklahoma

Sources for this page

Verify at the official NPI Registry.