Healthcare Provider Details

I. General information

NPI: 1366060972
Provider Name (Legal Business Name): ERIN MCLAUGHLIN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2020
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 E 6TH ST
PAWHUSKA OK
74056-4204
US

IV. Provider business mailing address

5105 S MADISON AVE APT 205
TULSA OK
74105-5671
US

V. Phone/Fax

Practice location:
  • Phone: 918-604-6054
  • Fax: 918-777-9018
Mailing address:
  • Phone: 918-408-0047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number20139
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: