Provider Demographics
NPI:1366789042
Name:HOMIER, KAMERON KIMBERLY ANN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KAMERON
Middle Name:KIMBERLY ANN
Last Name:HOMIER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3684 SIDE HILL CT
Mailing Address - Street 2:
Mailing Address - City:NEWCASTLE
Mailing Address - State:OK
Mailing Address - Zip Code:73065-0080
Mailing Address - Country:US
Mailing Address - Phone:405-421-1921
Mailing Address - Fax:
Practice Address - Street 1:3684 SIDE HILL CT
Practice Address - Street 2:
Practice Address - City:NEWCASTLE
Practice Address - State:OK
Practice Address - Zip Code:73065-0080
Practice Address - Country:US
Practice Address - Phone:405-421-1921
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-15
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK85161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical