Provider Demographics
NPI:1073533253
Name:MAGARIAN, ANGELA SUSAN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:SUSAN
Last Name:MAGARIAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:ANGELA
Other - Middle Name:SUSAN
Other - Last Name:PETERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:3750 W MAIN ST
Mailing Address - Street 2:STE AA
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-4645
Mailing Address - Country:US
Mailing Address - Phone:405-473-0317
Mailing Address - Fax:800-230-9608
Practice Address - Street 1:3750 W MAIN ST
Practice Address - Street 2:STE AA
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-4645
Practice Address - Country:US
Practice Address - Phone:405-473-0317
Practice Address - Fax:800-230-9608
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19763101YM0800X, 1041C0700X
OK35821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX063929601Medicaid
OK1006360660 CMedicaid
OK1006360660 CMedicaid