Provider Demographics
NPI:1215032917
Name:DANIEL-KOWALSKI, LANELL (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LANELL
Middle Name:
Last Name:DANIEL-KOWALSKI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1323 RICHMOND RD
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-3217
Mailing Address - Country:US
Mailing Address - Phone:405-522-3073
Mailing Address - Fax:405-521-2086
Practice Address - Street 1:1323 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-3217
Practice Address - Country:US
Practice Address - Phone:405-522-3073
Practice Address - Fax:405-521-2086
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK26961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical