NPI 1508574831 · live from the CMS NPI Registry
Briche' Antol
Social Worker in Tulsa, OK. National Provider Identifier 1508574831, active.
NPI record
| NPI | 1508574831 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 5310 E. 31st. St S, Tulsa, OK 74135 |
| Practice phone | 918-600-3100 |
| Mailing address | 929 S Mission St Apt 30, Sapulpa, OK 74066 |
| Enumerated | November 7, 2022 |
| Last updated | June 27, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | 20978-P (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.