Provider Demographics
NPI:1700354420
Name:PRICE, KARIN (LCSW)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:
Last Name:PRICE
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 1:6400 S LEWIS AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-1088
Mailing Address - Country:US
Mailing Address - Phone:405-378-2727
Mailing Address - Fax:405-378-2776
Practice Address - Street 1:6400 S LEWIS AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-1088
Practice Address - Country:US
Practice Address - Phone:405-378-2727
Practice Address - Fax:405-378-2776
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-12
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK61931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical