Healthcare Provider Details

I. General information

NPI: 1386169076
Provider Name (Legal Business Name): LAUREN CHANDLER WARE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. LAUREN CHANDLER ALLFORD

II. Dates (important events)

Enumeration Date: 08/03/2017
Last Update Date: 10/06/2023
Certification Date: 10/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1008 24TH AVE NW
NORMAN OK
73069-6369
US

IV. Provider business mailing address

13301 N. MERIDIAN AVE. STE 100
OKLAHOMA CITY OK
73120
US

V. Phone/Fax

Practice location:
  • Phone: 405-310-3262
  • Fax:
Mailing address:
  • Phone: 405-470-7100
  • Fax: 405-470-7111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number7595
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: