Basic Information
| Provider Information | |||||||||
| NPI: | 1851766133 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | DEANNA WINNER, LCSW, P.C | ||||||||
| LastName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 800 W ROCK CREEK RD STE 105 | ||||||||
| Address2: | |||||||||
| City: | NORMAN | ||||||||
| State: | OK | ||||||||
| PostalCode: | 730698581 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4055687884 | ||||||||
| FaxNumber: | 4053102081 | ||||||||
| Practice Location | |||||||||
| Address1: | 800 W ROCK CREEK RD STE 105 | ||||||||
| Address2: | |||||||||
| City: | NORMAN | ||||||||
| State: | OK | ||||||||
| PostalCode: | 730698581 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4055687884 | ||||||||
| FaxNumber: | 4053102081 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/11/2015 | ||||||||
| LastUpdateDate: | 12/11/2015 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | WINNER | ||||||||
| AuthorizedOfficialFirstName: | DEANNA | ||||||||
| AuthorizedOfficialMiddleName: | KAY | ||||||||
| AuthorizedOfficialTitleorPosition: | THERAPIST | ||||||||
| AuthorizedOfficialTelephone: | 4055687884 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | LCSW | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 4457 | OK | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.