MRS. BRANDI D DETHEROW LCSW PROVISIONAL
NPI 1538387410
Social Worker - Clinical in Sapulpa, OK
About Mrs. Brandi D Detherow Lcsw Provisional NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. BRANDI D DETHEROW LCSW PROVISIONAL (NPI 1538387410) is an individual clinical provider in Sapulpa, Oklahoma, licensed in Oklahoma (NONE) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Brandi D Detherow Lcsw Provisional is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Brandi Detherow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tulsa, OK 74136
- Reassigned Medicare billing, Oklahoma enrollment
- 70 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAPULPA, OK 74066
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brandi Detherow's NPI number?
The NPI number for Brandi Detherow is 1538387410. It was assigned to this individual provider in the NPPES registry on April 23, 2007.
Where is Brandi Detherow located?
Brandi Detherow practices at 15 E Dewey Ave, Sapulpa, OK 74066. The listed phone number is (918) 227-2016.
What is Brandi Detherow's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Brandi Detherow enrolled in Medicare?
Yes. Brandi Detherow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Brandi Detherow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brandi Detherow reassigns Medicare benefits to Improving Lives Counseling Services, Inc. (Tulsa, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brandi Detherow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brandi Detherow accept?
Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Oscar Insurance Company and UnitedHealthcare list Brandi Detherow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Brandi Detherow was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Brandi D Detherow, LCSW PROVISIONAL · NPI 1538387410
Clinical provider in Sapulpa, Oklahoma. Individual provider, active in the CMS NPPES registry since April 23, 2007.
## Identity
- **NPI:** 1538387410 (Entity type: Individual)
- **Enumerated:** April 23, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** NONE (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 15 E DEWEY AVE, Sapulpa, OK 74066-4201
- **Phone:** (918) 227-2016 · **Fax:** (918) 227-1125
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Improving Lives Counseling Services, Inc. (NPI 1487967444, Tulsa, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1538387410) · Data from the CMS NPPES public registry.