Individual provider Active NPI

Mary J Brazier, M.S.W

  • Clinical Social Worker
  • Shawnee, OK
National Provider Identifier
1639478258
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
116640 Issued in TX
Practice address
45921 Ranch Rd
Shawnee, OK 74804-9582
Phone
(405) 615-2447
NPI assigned
Mar 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 116640 TX Primary

Addresses

Primary practice location

45921 Ranch Rd
Shawnee, OK 74804-9582

Mailing address

45921 Ranch Rd
Shawnee, OK 74804-9582
Phone (405) 615-2447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240207001543 OK Practitioner - Clinical Social Worker 0446505739 Reassigns benefits to 1 organization
I20251118004826 TX Practitioner - Clinical Social Worker 0446505739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

610 N Broadway Ave
Shawnee, OK 74801-6202
Phone (405) 615-2447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4630OKMDGeneral Practice Dentistry
116640TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates for Change Family Services, PLLC Social Worker CurrentSince Jan 17, 2024 Accepting new patients
Alaniz Counseling and Behavioral Center, P.C. CurrentSince Oct 24, 2025 Accepting new patients
Vcounselors PLLC CurrentSince Oct 24, 2025 Accepting new patients

Locations

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

17503 La Cantera Pkwy
Ste 104
San Antonio, TX 78257
Phone (210) 564-9116

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1639478258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45921 RANCH RD",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748049582",
            "telephone_number": "405-615-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45921 RANCH RD",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748049582",
            "telephone_number": "405-615-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZIER",
        "first_name": "MARY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "M.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "116640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

Verify at the official NPI Registry.