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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON DEATHERAGE, BSW

Active

SHANNON DEATHERAGE, BSW is a Social Worker healthcare provider located in ADA, Oklahoma. NPI 1629528302 is currently active in the NPPES registry. Verify at CMS.

Social Worker · ADA, OK

Registration Details

NPI Number
1629528302
Provider Type
Individual
Gender
Female
NPI Issued
Oct 6, 2016 (9.8129990032552 yrs)
Last Updated
Oct 6, 2016

Practice Information

Address
3115 ARLINGTON ST
ADA, OK, 748203085
Browse OK providers · Browse ZIP 74820
Phone
5803326345
Fax
5804217724
Primary Specialty
Social Worker
104100000X

Other Social Worker Providers in ADA, OK

Name Credential NPI
DEANNA CARPITCHE 1376564146
DONN NELL MARIE RIGGS MSW 1598071276
MRS. JESSICA D SCHILREFF 1427477116
ROBYN ZAH MSW 1497162028
CASSIE RENEE SAWATZKY LCSW 1083016026
SABRINA SIMMONS 1689150898
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.