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

Rachel Blalack, LCSW

Individual provider Clinical Social Worker · NPI 1417408154

Rachel Blalack, LCSW is a Clinical Social Worker in Oklahoma City, Oklahoma. Qualified in 2019, 7 years ago. Licensed in Michigan and Oklahoma.

Years since qualifying
7
Licensed in
MI, OK
In the registry since
2016
Specialties on file
2
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

1200 Childrens Ave
Oklahoma City, OK 73104-4637
Phone: (405) 308-3747
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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 21168 (OK)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6801122108 (MI)

Record details

NPI number1417408154
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 18, 2016
Last updated in NPPESJune 21, 2026
Certification dateJune 21, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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