Provider Demographics
NPI:1134812522
Name:PLEASANT, JYNGER (MSW)
Entity type:Individual
Prefix:
First Name:JYNGER
Middle Name:
Last Name:PLEASANT
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 1:7335 S LEWIS AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-6896
Mailing Address - Country:US
Mailing Address - Phone:191-874-9460
Mailing Address - Fax:
Practice Address - Street 1:7335 S LEWIS AVE STE 204
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-6896
Practice Address - Country:US
Practice Address - Phone:918-991-8160
Practice Address - Fax:
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
OK20090-P104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker