Provider Demographics
NPI:1053663468
Name:HASSELL, LAURA ELENA (MSW)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:ELENA
Last Name:HASSELL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 W 7TH ST
Mailing Address - Street 2:#1523
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74119-1064
Mailing Address - Country:US
Mailing Address - Phone:918-830-2885
Mailing Address - Fax:
Practice Address - Street 1:1516 S BOSTON AVE
Practice Address - Street 2:SUITE 1 BOSTON PLACE
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74119-4003
Practice Address - Country:US
Practice Address - Phone:918-561-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-09
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical