Provider Demographics
NPI:1013600519
Name:PRINCE, SYDNEY MORGAN (LMSW; MSW U/S)
Entity Type:Individual
Prefix:MISS
First Name:SYDNEY
Middle Name:MORGAN
Last Name:PRINCE
Suffix:
Gender:F
Credentials:LMSW; MSW U/S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E PARKER MCKENZIE DR
Mailing Address - Street 2:
Mailing Address - City:ANADARKO
Mailing Address - State:OK
Mailing Address - Zip Code:73005-2223
Mailing Address - Country:US
Mailing Address - Phone:405-247-7937
Mailing Address - Fax:405-247-4945
Practice Address - Street 1:201 E PARKER MCKENZIE DR
Practice Address - Street 2:
Practice Address - City:ANADARKO
Practice Address - State:OK
Practice Address - Zip Code:73005-2223
Practice Address - Country:US
Practice Address - Phone:405-247-7937
Practice Address - Fax:405-247-4945
Is Sole Proprietor?:No
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7898104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker