Provider Demographics
NPI:1215090717
Name:PAZZAGLIA, GINA M (LCSW)
Entity type:Individual
Prefix:MRS
First Name:GINA
Middle Name:M
Last Name:PAZZAGLIA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:GINA
Other - Middle Name:P
Other - Last Name:PAZZAGLIA-FILKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:9404 BUTTONWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73160-9137
Mailing Address - Country:US
Mailing Address - Phone:405-237-3780
Mailing Address - Fax:405-237-3781
Practice Address - Street 1:2228 SHADOWLAKE DR BLDG J
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-7440
Practice Address - Country:US
Practice Address - Phone:405-237-3780
Practice Address - Fax:405-237-3781
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKLSW 21891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical