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

Kristin M. Brock, LCSW

Individual provider Clinical Social Worker · NPI 1780949883

Kristin M. Brock, LCSW is a Clinical Social Worker in Newkirk, Oklahoma. Qualified in 2012, 14 years ago. Practices with Fairfax Medical Facilities Inc, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
14
Licensed in
OK
In the registry since
2012
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

716 S Highway 77
Newkirk, OK 74647-7009
Phone: (580) 362-2555
Fax: (580) 362-2948
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 212 N Main St, Fairfax, OK 74637-3023 — (918) 642-3100

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 3832 (OK)

Record details

NPI number1780949883
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 5, 2012
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Fairfax Medical Facilities Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount