Oti-Lisa Deanna Brown, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2187 Issued in OK

Practice address

1919 S Wheeling Ave Ste 404
Tulsa, OK 74104-5633

Phone

(918) 748-7640

Fax

(918) 403-6317

NPI assigned

Dec 17, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ms. Otilisa Deanna Brown Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Palmer Continuum of Care, Inc.

  • Substance Abuse Rehabilitation Facility
  • Tulsa, OK
  • NPI 1104049733
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1124666581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 MOHAWK BLVD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741101519",
            "telephone_number": "918-430-0975",
            "fax_number": "918-403-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S WHEELING AVE STE 404",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045633",
            "telephone_number": "918-748-7640",
            "fax_number": "918-403-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "OTI-LISA",
        "middle_name": "DEANNA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OK",
            "license": "2187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OTILISA",
            "last_name": "BROWN",
            "middle_name": "DEANNA",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Melissa Brown
• Michael Brown
• Michelle Brown, LCSW
• Mikelle Brown
• Miranda Carole Brown, RDN
• Phyllis Renee Brown, CM
• Princess Brown
• Quinn Brown
• Rachel Brown
• Rebecca Huntze Brown, PHARMD

• Social Worker in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.