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

Individual provider Clinical Social Worker · NPI 1558338731

Jewel Dallas-Bruner, LCSW is a Clinical Social Worker in Oklahoma City, Oklahoma. Qualified in 1985, 41 years ago. Practices with Williams Medical Group Practice, LLC, a 207-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
41
Licensed in
OK
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

825 NE 10th St OUPB4300
Oklahoma City, OK 73104-5417
Phone: (405) 271-3050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1319 (OK)

Record details

NPI number1558338731
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 7, 2006
Last updated in NPPESJuly 3, 2008

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Williams Medical Group Practice, Llc — 207 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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