IndividualActive
Andrea Blank, LCSW
NPI 1114924628 · Clinical Social Worker · Edmond, OK
Provider details
- NPI number
- 1114924628
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2265 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
501 E 15th St
Suite 500a
Edmond, OK 73013-5043
Phone: (405) 888-5299
Fax: (405) 888-5322
Approximate (ZIP-level) locationGet directions
Mailing address
15951 Little Axe Dr
Norman, OK 73026-9088
Registry dates
- Enumerated
- 2005-06-30
- Last updated
- 2018-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.