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

Individual provider Clinical Social Worker · NPI 1932826781

Jennifer Bantle, LCSW is a Clinical Social Worker in Moore, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2022
What do these letters mean?
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

909 Bronze Medal Rd
Moore, OK 73160-7971
Phone: (405) 590-6397
Fax: (405) 271-3052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2587 (OK)

Record details

NPI number1932826781
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 24, 2022
Last updated in NPPESOctober 24, 2022
Certification dateOctober 23, 2022

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