Provider Demographics
NPI:1841683125
Name:TUNICK, TRENEE L (LCSW)
Entity type:Individual
Prefix:MRS
First Name:TRENEE
Middle Name:L
Last Name:TUNICK
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 1:5708 NW 135TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73142-5942
Mailing Address - Country:US
Mailing Address - Phone:405-696-7442
Mailing Address - Fax:855-940-4072
Practice Address - Street 1:5708 NW 135TH ST STE B
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73142-5942
Practice Address - Country:US
Practice Address - Phone:405-697-6737
Practice Address - Fax:855-940-4072
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-11
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK65161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA47-5368815OtherEIN