Provider Demographics
NPI:1902922248
Name:BURROWS, TRINNA LW (LSW, ACSW)
Entity Type:Individual
Prefix:
First Name:TRINNA
Middle Name:LW
Last Name:BURROWS
Suffix:
Gender:F
Credentials:LSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 S COLUMBIA AVE
Mailing Address - Street 2:SUITE 420
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114-3505
Mailing Address - Country:US
Mailing Address - Phone:918-743-9559
Mailing Address - Fax:918-749-6993
Practice Address - Street 1:2121 S COLUMBIA AVE
Practice Address - Street 2:SUITE 420
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74114-3505
Practice Address - Country:US
Practice Address - Phone:918-743-9559
Practice Address - Fax:918-749-6993
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK13041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical