Provider Demographics
NPI:1043626120
Name:ENGLISH, DANIELLE LAVON (LCSW)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:LAVON
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:DANIELLE
Other - Middle Name:LAVON
Other - Last Name:MANNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3909 SE 29TH STREET
Mailing Address - Street 2:SUITE 150
Mailing Address - City:DEL CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73115-2616
Mailing Address - Country:US
Mailing Address - Phone:405-458-0680
Mailing Address - Fax:
Practice Address - Street 1:3909 SE 29TH STREET
Practice Address - Street 2:SUITE 150
Practice Address - City:DEL CITY
Practice Address - State:OK
Practice Address - Zip Code:73115-2616
Practice Address - Country:US
Practice Address - Phone:405-458-0680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-09
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10558-C1041C0700X
OK206221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical