Jonny Ray Brandon, LCSW is a
Social Worker - Clinical based in Norman, Oklahoma. Jonny Ray Brandon is licensed to practice in Oklahoma (license number 4165) and his current practice location is
304 Dollina Dr, Norman, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(405) 488-4096.
NPI number for Jonny Ray Brandon is 1982995049 and his current mailing address is 304 Dollina Dr, Norman, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982995049.
Healthcare Provider's Profile
| Full Name | Jonny Ray Brandon |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 304 Dollina Dr, Norman, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1982995049
- Provider Enumeration Date: 04/25/2011
- Last Update Date: 06/21/2013
Medical Identifiers
Medical identifiers for Jonny Ray Brandon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982995049 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Oklahoma) | Secondary |
| 1041C0700X | Social Worker - Clinical | 4165 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonny Ray Brandon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jonny Ray Brandon, LCSW
304 Dollina Dr,
Norman, OK 73069-7570
Ph: (405) 488-4096 | Jonny Ray Brandon, LCSW
304 Dollina Dr,
Norman, OK 73069-7570
Ph: (405) 488-4096 |
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