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

Mirissa Joy Beavers

Individual provider Social Worker · NPI 1013553163

Mirissa Joy Beavers is a Social Worker in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2019.

Licensed in
OK
In the registry since
2019
Specialties on file
2

Practice location Address checks out

4400 N Lincoln Blvd
Oklahoma City, OK 73105-5104
Phone: (405) 638-0961
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8848 (OK)
Social Worker Taxonomy 104100000X

Record details

NPI number1013553163
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 25, 2019
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026
Mailing address3457 Robin Dr, Woodward, OK 73801-3941

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