Deashia Shannice Cogdell

Individual provider Active NPI Case Manager/Care Coordinator · Del City, OK

NPI 1124948294 · NPPES record last updated Jul 20, 2026

Key facts

NPI
1124948294
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
5509 Main St Ste 102
Del City, OK 73115-5511
Phone
(405) 627-9308
NPI assigned
Jul 20, 2026
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Wellness and Care Team of Ok LLC Past
since Mar 31, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

5509 Main St Ste 102
Del City, OK 73115-5511

Mailing address

11810 NE 46TH St
Spencer, OK 73084-7311
Phone (405) 902-1000

Other providers in Del City, OK

All providers in Del City, OK · Case Manager/Care Coordinator in Oklahoma

Sources for this page

Verify at the official NPI Registry.