Provider Demographics
NPI:1528360559
Name:WINNER, DEANNA KAY (MSW)
Entity Type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:KAY
Last Name:WINNER
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 1:800 W ROCK CREEK RD STE 101
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-8581
Mailing Address - Country:US
Mailing Address - Phone:405-568-7884
Mailing Address - Fax:405-310-2081
Practice Address - Street 1:800 W ROCK CREEK RD STE 101
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-8581
Practice Address - Country:US
Practice Address - Phone:405-568-7884
Practice Address - Fax:405-310-2081
Is Sole Proprietor?:No
Enumeration Date:2010-11-24
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4457104100000X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No104100000XBehavioral Health & Social Service ProvidersSocial Worker