Provider Demographics
NPI:1649347352
Name:CLAYBROOK, CATHERINE (MSW)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:CLAYBROOK
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6440 S LEWIS AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-1032
Mailing Address - Country:US
Mailing Address - Phone:918-205-3031
Mailing Address - Fax:
Practice Address - Street 1:6440 S LEWIS AVE STE 2900
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-1032
Practice Address - Country:US
Practice Address - Phone:918-205-3031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK34051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical