Provider Demographics
NPI:1144465113
Name:WEEKS, ROBERT COLUMBUS (LCSW)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:COLUMBUS
Last Name:WEEKS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:MR
Other - First Name:BOB
Other - Middle Name:C
Other - Last Name:WEEKS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:1204 DEER RUN DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-3885
Mailing Address - Country:US
Mailing Address - Phone:405-821-3757
Mailing Address - Fax:
Practice Address - Street 1:1204 DEER RUN DR
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-3885
Practice Address - Country:US
Practice Address - Phone:405-821-3757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK21561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical