Provider Demographics
NPI:1194207472
Name:MCDOWELL, CARRIE M (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:M
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 S 77TH EAST AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74112-2126
Mailing Address - Country:US
Mailing Address - Phone:918-408-3924
Mailing Address - Fax:
Practice Address - Street 1:6666 S SHERIDAN RD STE 230
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-1767
Practice Address - Country:US
Practice Address - Phone:918-408-3924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-03
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK77521041C0700X
OK6413-P104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker