IndividualActive
Alicia Busic, LCSW
NPI 1043934185 · Clinical Social Worker · Bethany, OK
Provider details
- NPI number
- 1043934185
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- SW19111 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3908 N Peniel Ave Ste 500
Bethany, OK 73008-3402
Phone: (405) 397-1617
Approximate (ZIP-level) locationGet directions
Mailing address
3408 Nw 189th St
Edmond, OK 73012-0007
Registry dates
- Enumerated
- 2022-10-03
- Last updated
- 2025-04-08
- Certified
- 2025-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.