Brook Ladawn Chase

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

700 SW Penn
Bartlesville, OK 74003

Phone

(918) 213-5407

NPI assigned

Jun 1, 2018

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1558853994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SW PENN",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "74003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SW PENN",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "74003",
            "telephone_number": "918-213-5407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 E 6th St",
            "address_purpose": "LOCATION",
            "city": "Pawhuska",
            "state": "OK",
            "postal_code": "740564204",
            "country_code": "US",
            "telephone_number": "918-287-1175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHASE",
        "first_name": "BROOK",
        "middle_name": "LADAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OK",
            "license": "130814",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000765770",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney C Caywood, COTA
• CCLS, LLC (Silver Lake Care Center)
• Bionca M Chambers
• Gopal Chandrasekharan, M.D.
• Jeffrey Allen Chapman, B.S.
• Jimmie Charles Chase, BS,CADC
• Jonathan Jim Chasteen
• Amber Chavez
• Chelsea Jordan Chavez, FNP
• Kaylor June Cheves

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.