Provider Demographics
NPI:1033857859
Name:CRAWFORD, DONNA D (LMSW)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:D
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:DEE
Other - Middle Name:
Other - Last Name:ROSS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DONNA CRAWFORD
Mailing Address - Street 1:13315 S 91ST EAST AVE
Mailing Address - Street 2:
Mailing Address - City:BIXBY
Mailing Address - State:OK
Mailing Address - Zip Code:74008-3541
Mailing Address - Country:US
Mailing Address - Phone:918-332-8168
Mailing Address - Fax:
Practice Address - Street 1:13315 S 91ST EAST AVE
Practice Address - Street 2:
Practice Address - City:BIXBY
Practice Address - State:OK
Practice Address - Zip Code:74008-3541
Practice Address - Country:US
Practice Address - Phone:918-332-8168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-23
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5736104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker