Provider Demographics
NPI:1700542198
Name:MURRAY, SEAN RAY (LMSW U/S)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:RAY
Last Name:MURRAY
Suffix:
Gender:M
Credentials:LMSW U/S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 NE 13TH ST
Mailing Address - Street 2:STE 1B107
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5007
Mailing Address - Country:US
Mailing Address - Phone:405-618-3036
Mailing Address - Fax:405-606-8488
Practice Address - Street 1:921 NE 13TH ST
Practice Address - Street 2:STE 1B107
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5007
Practice Address - Country:US
Practice Address - Phone:405-618-3036
Practice Address - Fax:405-606-8488
Is Sole Proprietor?:No
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7620104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker