Individual provider · Type 1 NPI

Shannon Deatherage, BSW

Social Worker · Ada, OK

NPI number 1629528302 Active

Practice location

3115 Arlington St
Ada, OK 74820-3085

Call (580) 332-6345 Map

Fax (580) 421-7724

Mailing address

2119 Hawk Cir
Ada, OK 74820-6001

Specialties and licenses

TaxonomyCodeLicense
Social Worker Primary 104100000XNone listed

Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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About NPI 1629528302

Shannon Deatherage, BSW's National Provider Identifier is 1629528302, issued on Oct 6, 2016. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Ada, OK. The record was last updated on Oct 6, 2016.