NPI 1376775775 · live from the CMS NPI Registry
Susan Diane Branam, LADC, LCSW
Social Worker, Clinical in Blanchard, OK. National Provider Identifier 1376775775, active.
NPI record
| NPI | 1376775775 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 2320 County Road 1254, Blanchard, OK 73010 |
| Practice phone | 918-302-7080 |
| Enumerated | August 18, 2009 |
| Last updated | October 24, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 594 (OK) |
| Counselor, Mental Health | 101YM0800X | 2913 (OK) |
| Social Worker, Clinical primary | 1041C0700X | 2913 (OK) |
| Marriage & Family Therapist | 106H00000X | 2913 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.