Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Mary Shannon Hazen, LCSW

Individual provider Mental Health Counselor · NPI 1043953797

Mrs. Mary Shannon Hazen, LCSW is a Clinical Social Worker in Newalla, Oklahoma. Qualified in 2015, 11 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
11
Licensed in
OK
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

5021 Red Hill Rd
Newalla, OK 74857-8834
Phone: (405) 391-7777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14625 Ne 23rd St, Choctaw, OK 73020-8728 — (405) 390-8131

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 21587 (OK)

Record details

NPI number1043953797
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 19, 2022
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Newalla