1. Home
  2. Directory
  3. Oklahoma
  4. Woodward
  5. Social Worker
  6. NPI Profile

MIRISSA BEAVERS LCSW LLC
NPI 1194655290
Social Worker - Clinical in Woodward, OK

Active since May 20, 2026
1011 TEXAS ST, WOODWARD, OK 73801(580) 205-2035(580) 205-2038 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mirissa Beavers Lcsw Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRISSA BEAVERS LCSW LLC (NPI 1194655290), doing business as Inclusive Emdr And Psychotherapy, is a healthcare organization registered as a clinical in Woodward, Oklahoma and active in the NPI registry since May 2026. The organization lists Mirissa Beavers, Owner, as its authorized official.

NPPES Registry Identity

NPI1194655290
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMIRISSA BEAVERS LCSW LLC
Location Address1011 TEXAS STWoodward, OK 73801-3127
Mailing Address1011 Texas StWoodward, OK 73801-3127 · (580) 205-2035 · Fax (580) 205-2038
Phone(580) 205-2035
Fax(580) 205-2038
Organization SubpartNo
Authorized OfficialMirissa BeaversOwner · (580) 498-0204
Enumeration DateMay 20, 2026
NPPES CertifiedMay 20, 2026
✔ NPI 1194655290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1011 TEXAS ST, Woodward, OK 73801
Open in Google Maps ↗

Other Names 1

Doing Business AsInclusive Emdr And Psychotherapy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHELLE ANNE JOHNSON DPT
Physical Therapist
1011 TEXAS ST
WOODWARD, OK 73801
Woodward County (580) 205-2035
INCLUSIVE PHYSICAL THERAPY, WELLNESS, & PELVIC HEALTH, PLLC
Clinic/Center (Physical Therapy)
1011 TEXAS ST
WOODWARD, OK 73801
Woodward County (580) 205-2035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mirissa Beavers Lcsw LLC's NPI number?

The NPI number for Mirissa Beavers Lcsw LLC is 1194655290. It was assigned to this organization in the NPPES registry on May 20, 2026. The provider is doing business as Inclusive EMDR and Psychotherapy.

Where is Mirissa Beavers Lcsw LLC located?

Mirissa Beavers Lcsw LLC is located at 1011 Texas St, Woodward, OK 73801. The listed phone number is (580) 205-2035.

What is Mirissa Beavers Lcsw LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mirissa Beavers Lcsw LLC was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.