Provider Demographics
NPI:1336426436
Name:COTNEY, REBECCA A (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:A
Last Name:COTNEY
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 1:10159 E 11TH ST STE 233
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74128-3060
Mailing Address - Country:US
Mailing Address - Phone:918-810-0905
Mailing Address - Fax:
Practice Address - Street 1:10159 E 11TH ST STE 233
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74128-3060
Practice Address - Country:US
Practice Address - Phone:918-810-0905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-03
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK35851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical