Provider Demographics
NPI:1619574977
Name:MORGAN, JONNI LEE (LCSW SOCIAL WORKER)
Entity Type:Individual
Prefix:
First Name:JONNI
Middle Name:LEE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LCSW SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2025 E 71ST ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-5407
Mailing Address - Country:US
Mailing Address - Phone:918-728-7586
Mailing Address - Fax:918-742-6413
Practice Address - Street 1:6950 S UTICA AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-3903
Practice Address - Country:US
Practice Address - Phone:918-728-7586
Practice Address - Fax:918-742-6413
Is Sole Proprietor?:No
Enumeration Date:2020-10-08
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1184923419OtherNPI