Provider Demographics
NPI:1699361923
Name:LANEGAN, SEAN THOMAS (LICSW)
Entity type:Individual
Prefix:MR
First Name:SEAN
Middle Name:THOMAS
Last Name:LANEGAN
Suffix:
Gender:
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 NW EXPRESSWAY STE 300
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5400
Mailing Address - Country:US
Mailing Address - Phone:806-221-2102
Mailing Address - Fax:
Practice Address - Street 1:3030 NW EXPRESSWAY STE 300
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-5400
Practice Address - Country:US
Practice Address - Phone:806-221-2102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-21
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1050831041C0700X
TN81061041C0700X
HILCSW-4970-01041C0700X
WALW610450821041C0700X
OK214981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical