Healthcare Provider Details

I. General information

NPI: 1306163282
Provider Name (Legal Business Name): TEQUIA DAWN SIER MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2010
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 N CLASSEN BLVD STE C
OKLAHOMA CITY OK
73118-5031
US

IV. Provider business mailing address

1500 NE 13TH ST
OKLAHOMA CITY OK
73117-2614
US

V. Phone/Fax

Practice location:
  • Phone: 405-230-2435
  • Fax:
Mailing address:
  • Phone: 405-414-9195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number4029
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: