Provider Demographics
NPI:1447532122
Name:DODD, CHARLENE JOSPHINE (LMSW, LCSW-P)
Entity type:Individual
Prefix:MS
First Name:CHARLENE
Middle Name:JOSPHINE
Last Name:DODD
Suffix:
Gender:F
Credentials:LMSW, LCSW-P
Other - Prefix:MRS
Other - First Name:CHARLENE
Other - Middle Name:JOSEPHINE
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW U/S
Mailing Address - Street 1:114 W. DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:NOWATA
Mailing Address - State:OK
Mailing Address - Zip Code:74048
Mailing Address - Country:US
Mailing Address - Phone:918-273-1841
Mailing Address - Fax:918-273-1843
Practice Address - Street 1:700 W PENN
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74003
Practice Address - Country:US
Practice Address - Phone:918-337-8080
Practice Address - Fax:918-337-8099
Is Sole Proprietor?:No
Enumeration Date:2011-09-19
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical