NPI 1295400745 · live from the CMS NPI Registry
Brogan B A'Neal, LCSW
Social Worker, Clinical in Tulsa, OK. National Provider Identifier 1295400745, active.
NPI record
| NPI | 1295400745 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1612 S Saint Louis Ave, Tulsa, OK 74120 |
| Practice phone | 918-853-2095 |
| Mailing address | 907 W Caddo St, Cleveland, OK 74020 |
| Enumerated | August 16, 2021 |
| Last updated | December 3, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | 6838 (OK) |
| Social Worker, Clinical primary | 1041C0700X | 8916 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.