IndividualActive
Alexia Medlock, LCSW
NPI 1366607152 · Clinical Social Worker · Tulsa, OK
Provider details
- NPI number
- 1366607152
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4057 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1721 E 57th St
Tulsa, OK 74105-8812
Phone: (918) 804-9379
Approximate (ZIP-level) locationGet directions
Mailing address
1721 E 57th St
Tulsa, OK 74105-8812
Registry dates
- Enumerated
- 2008-07-22
- Last updated
- 2022-02-11
- Certified
- 2022-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.