Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dwain A Pellebon, PHD, LCSW

Individual provider Clinical Social Worker · NPI 1720400351

Dwain A Pellebon, PHD, LCSW is a Clinical Social Worker in Norman, Oklahoma. Qualified in 1989, 37 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
37
Licensed in
OK
In the registry since
2014
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2500 Boardwalk Ste 210
Norman, OK 73069-6593
Phone: (405) 857-8357
Fax: (405) 857-1678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1330 N Classen Blvd, Oklahoma City, OK 73106-6835 — (405) 606-4441

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6098 (OK)

Record details

NPI number1720400351
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LCSW
Sole proprietorYes
NPI enumeratedJanuary 16, 2014
Last updated in NPPESMay 18, 2022
Certification dateMay 18, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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