Mrs Brandi D Detherow, LCSW PROVISIONAL | |
15 E Dewey Ave, Sapulpa, OK 74066-4201 | |
(918) 227-2016 | |
(918) 227-1125 |
Full Name | Mrs Brandi D Detherow |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 20 Years |
Location | 15 E Dewey Ave, Sapulpa, Oklahoma |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538387410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | NONE (Oklahoma) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Improving Lives Counseling Services Inc | 3870818230 | 28 |
Entity Name | Improving Lives Counseling Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487967444 PECOS PAC ID: 3870818230 Enrollment ID: O20150206001731 |
Mailing Address | Practice Location Address |
---|---|
Mrs Brandi D Detherow, LCSW PROVISIONAL 832 W Commercial St., Broken Arrow, OK 74012 Ph: (918) 607-3444 | Mrs Brandi D Detherow, LCSW PROVISIONAL 15 E Dewey Ave, Sapulpa, OK 74066-4201 Ph: (918) 227-2016 |
Mrs. Jessica Seachris, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9 N Water St, 104, Sapulpa, OK 74066 Phone: 918-224-9307 Fax: 918-224-9309 | |
Ms. Sally Ann Townsend-wellons, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 304 S Mission St, Sapulpa, OK 74066 Phone: 918-268-7295 Fax: 539-664-5738 | |
Sarah Mckemie, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23 E Ross Ave, Sapulpa, OK 74066 Phone: 918-227-2016 | |
Julie Kline, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 724 S Mission St, Sapulpa, OK 74066 Phone: 918-248-4340 | |
Rebecca L Jones, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3614 W 109th St S, Sapulpa, OK 74010 Phone: 918-296-0099 Fax: 918-296-0099 | |
Shelly Folta, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2 N Water St, Sapulpa, OK 74066 Phone: 918-688-4234 | |
Sarah Ellington, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 E Dewey, Sapulpa, OK 74066 Phone: 918-227-2016 Fax: 918-227-1125 |