Provider Demographics
NPI:1174742779
Name:WARREN, SYDNEY BRIGHT (LCSW)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:BRIGHT
Last Name:WARREN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 54821
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73154-1821
Mailing Address - Country:US
Mailing Address - Phone:405-820-1810
Mailing Address - Fax:405-438-3815
Practice Address - Street 1:3441 W MEMORIAL RD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-7000
Practice Address - Country:US
Practice Address - Phone:405-820-1810
Practice Address - Fax:405-438-3815
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK25611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical