Provider Demographics
NPI:1598865552
Name:ZAYAS, ANGELA L (LCSW)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:L
Last Name:ZAYAS
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 1:6011 NW 53RD TER
Mailing Address - Street 2:
Mailing Address - City:WARR ACRES
Mailing Address - State:OK
Mailing Address - Zip Code:73122-6042
Mailing Address - Country:US
Mailing Address - Phone:405-831-2121
Mailing Address - Fax:405-787-4168
Practice Address - Street 1:6666 NW 39TH EXPY
Practice Address - Street 2:
Practice Address - City:BETHANY
Practice Address - State:OK
Practice Address - Zip Code:73008-2760
Practice Address - Country:US
Practice Address - Phone:405-831-2121
Practice Address - Fax:405-787-4168
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK29511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical