Mrs. Brandi D Detherow, LCSWPROVISIONAL
Mrs. Brandi D Detherow, LCSWPROVISIONAL is a Clinical Social Worker in Sapulpa, Oklahoma. Qualified in 2004, 22 years ago. Practices with Improving Lives Counseling Services Inc, a 33-clinician group and accepts Medicare assignment. Licensed in Oklahoma.
- Years since qualifying
- 22
- Licensed in
- OK
- In the registry since
- 2007
Practice location Address checks out
15 E Dewey AveSapulpa, OK 74066-4201
Phone: (918) 227-2016
Fax: (918) 227-1125
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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 NONE (OK) |
|---|
Record details
| NPI number | 1538387410 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCSWPROVISIONAL |
| Sole proprietor | Yes |
| NPI enumerated | April 23, 2007 |
| Last updated in NPPES | July 8, 2007 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Improving Lives Counseling Services Inc — 33 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Sapulpa
-
Erin Brook, LCSW
1025 E Grayson Ave, Sapulpa, OK 74066 · (918) 227-2622
-
Sarah Ellington
15 E Dewey, Sapulpa, OK 74066 · (918) 227-2016
-
Shelly Folta, MSW
2 N Water St, Sapulpa, OK 74066-2816 · (918) 688-4234
-
Samantha Guilfoyle-Miller
23 E Ross Ave, Sapulpa, OK 74066-6423 · (918) 227-2016
-
Mrs. Ashley Elizabeth Hill, LCSW
27 E Ross Ave, Sapulpa, OK 74066-6423 · (918) 442-7113