Healthcare Provider Details

I. General information

NPI: 1669302345
Provider Name (Legal Business Name): CRISTIN MCCOWN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4722 W MAIN ST
NORMAN OK
73072-3803
US

IV. Provider business mailing address

4722 W MAIN ST
NORMAN OK
73072-3803
US

V. Phone/Fax

Practice location:
  • Phone: 405-628-7701
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number8844
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: