DR. MARY E. BRANDT (NPI# 1932266913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932266913 |
| Entity Type | Individual |
| Full Name | DR. MARY E. BRANDT |
| Credential | PH.D LCSW |
| Practice Address |
601 S Broadway St Grove OK 74344-3429 |
| Mailing Address |
7 Miami Dr Port Duncan Monkey Island OK 74331-8043 |
| Practice Telephone | 9187869088 |
| Mailing Telephone | 9182574549 |
| Mailing Fax Number | 9182578732 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2337 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174948467 | Mary Beth Brandt | Pharmacist | 805 W Wade Hampton Blvd, Greer, SC 29650-1311 | 2014-02-24 |
| 1073720751 | Mary Ellen Brandt | Licensed Practical Nurse | 1418 Woodbridge St, Saint Paul, MN 55117-4413 | 2007-05-16 |
| 1215595582 | Mary Catherine Brandt | Surgery | 701 N 1st St Ste D308, Springfield, IL 62702-3757 | 2019-06-03 |
| 1114445343 | Mary Alicia Brandt | Technician/Technologist | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-09-08 |
| 1669799102 | Mary Sarah Brandt | Emergency Medicine | 900 Illinois Ave, Stevens Point, WI 54481-3114 | 2010-04-23 |
| 1962619775 | Mary Elizabeth Brandt | Dentist | 370 Medical Dr, Ste C, Carmel, IN 46032-2916 | 2007-05-17 |
| 1801976238 | Mary Brandt | Surgery | 200 Henry Clay Ave, New Orleans, LA 70118-5798 | 2006-10-17 |
| Street Address |
601 S BROADWAY ST |
| City | GROVE |
| State | OK |
| Zip Code | 74344-3429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568568475 | Hopper Medical Clinic | Internal Medicine | 601 S Broadway St, Grove, OK 74344-3429 | 2006-09-16 |
| 1346871910 | Lindsey Jo Bruckler | Nurse Practitioner | 601 S Broadway St, Grove, OK 74344-3429 | 2020-01-31 |
| 1619459708 | Grand Lake Health Care, LLC | Nurse Practitioner | 601 S Broadway St, Grove, OK 74344-3429 | 2018-09-05 |
| 1396045753 | Joseph James Gelinas | Nurse Practitioner | 601 S Broadway St, Grove, OK 74344-3429 | 2010-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326604935 | Deborah Stauss | Massage Therapist | 2086 S Main St, Grove, OK 74344 | 2019-05-20 |
| 1841776705 | Progressive Orthotic & Prosthetic Services, Inc | Prosthetic/Orthotic Supplier | 10 E 6th St., Grove, OK 74344 | 2018-07-13 |
| 1205329232 | Andra Renee Mitchell | Speech-Language Pathologist | 825 E Third Street, Grove, OK 74344 | 2018-06-13 |
| 1861996217 | Jenniffer Colleen Clark I | Case Manager/Care Coordinator | 1115 Har-ber Rd, Grove, OK 74344 | 2018-03-21 |
| 1417458167 | Jason S Beckham | Case Manager/Care Coordinator | 32600 S. 625 Road, Grove, OK 74344 | 2018-02-27 |
| 1659872034 | Keli Elaine Whitlock | Peer Specialist | 5602 Us Hwy 59, Grove, OK 74344 | 2018-02-22 |
| 1851899454 | Nichole Marie Wooton | Case Manager/Care Coordinator | 1115 Har-ber Road, Grove, OK 74344 | 2018-01-29 |
| 1043766645 | Samantha Lane | Speech-Language Pathologist | 1046 Hillside Road, Grove, OK 74344 | 2016-09-01 |
| 1376927509 | Matthew Kyle Allen | Physical Therapy Assistant | 4621 Hwy 59 N, Grove, OK 74344 | 2015-07-17 |
| 1477807428 | Andrew Scott Littlejohn | Physical Therapy Assistant | 103 Harber Road, Grove, OK 74344 | 2012-10-30 |
| Find all providers in zip 74344 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235359431 | Amy D Humphrey | Social Worker | 1115 Harber Rd., Grove, OK 74344 | 2007-04-27 |
| 1871569566 | Toni Lucas Elliott | Social Worker | 10 E 14th Street, Grove, OK 74344 | 2006-02-23 |
| 1104156462 | Sherry Lynda Rosa | Social Worker | 1629 S Main St, Grove, OK 74344-5368 | 2010-01-09 |
| 1134455934 | Susan Kidder | Social Worker | 1115 Harber Rd., Delaware County Clinic, Grove, OK 74344-7918 | 2009-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041147 | Coley Fipps | Social Worker | 3308 Grant Rd, Norman, OK 73071-2905 | 2020-10-22 |
| 1275154304 | Holly F Nguyen Therapy LLC | Social Worker | 1901 N Moore Ave Ste 15, Moore, OK 73160-3612 | 2020-04-29 |
| 1578191961 | Bonnie Sue Harman | Social Worker | 3 Nw Bent Tree Cir, Lawton, OK 73505-9532 | 2020-03-31 |
| 1700411170 | Braden Bowles | Social Worker | 1841 Exchange Ave, Oklahoma City, OK 73108-3022 | 2020-03-06 |
| 1114551900 | Carpenter Lcsw Pllc | Social Worker | 1212 S Air Depot Blvd Ste 19a, Midwest City, OK 73110-4873 | 2020-03-02 |
| 1619501061 | Terry Snow | Social Worker | 600 Sw 134th St, Oklahoma City, OK 73170-7307 | 2020-02-25 |
| 1104459395 | Mary Madonna LLC | Social Worker | 5808 Nw 109th St, Oklahoma City, OK 73162-5836 | 2020-02-17 |
| 1376182337 | Tina Francis Counseling, LLC | Social Worker | 4870 S Lewis Ave Ste 125, Tulsa, OK 74105-5141 | 2019-12-22 |
| 1295373777 | Heartland Resolution Therapy, LLC | Social Worker | 4821 S Sheridan Rd Ste 217, Tulsa, OK 74145-5716 | 2019-12-16 |
| 1356989883 | Neil Anthony Weathers | Social Worker | 700 S Telephone Rd Ste 301, Moore, OK 73160-2547 | 2019-12-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.