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, and ordering and referring status from the CMS PECOS system.
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.
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.
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
- **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.