Healthcare Provider Details

I. General information

NPI: 1871712976
Provider Name (Legal Business Name): MORGAN LINN ROGERS LCSW, CFDM, CCM III
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 09/30/2020
Certification Date: 09/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 S STEWART AVE
NORMAN OK
73071-5633
US

IV. Provider business mailing address

419 W GRAY ST
NORMAN OK
73069-7117
US

V. Phone/Fax

Practice location:
  • Phone: 405-627-6343
  • Fax: 405-364-5379
Mailing address:
  • Phone: 405-329-7300
  • Fax: 405-364-5379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2887
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: