Provider Demographics
NPI:1275107724
Name:LEFAN, RUTH ERIN (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:ERIN
Last Name:LEFAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MISS
Other - First Name:RUTH
Other - Middle Name:ERIN
Other - Last Name:LALLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2544 NW 33RD ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-7628
Mailing Address - Country:US
Mailing Address - Phone:918-261-4034
Mailing Address - Fax:
Practice Address - Street 1:1841 EXCHANGE AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73108-3022
Practice Address - Country:US
Practice Address - Phone:405-602-8861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical