Provider Demographics
NPI:1023441706
Name:BROWN, DANIELL MONIQUE (MSW-U/S)
Entity type:Individual
Prefix:
First Name:DANIELL
Middle Name:MONIQUE
Last Name:BROWN
Suffix:
Gender:F
Credentials:MSW-U/S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 SUNSET TER
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:OK
Mailing Address - Zip Code:73084-2750
Mailing Address - Country:US
Mailing Address - Phone:405-706-6340
Mailing Address - Fax:
Practice Address - Street 1:4701 SUNSET TER
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:OK
Practice Address - Zip Code:73084-2750
Practice Address - Country:US
Practice Address - Phone:405-706-6340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-16
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
OK8964-P1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst