Brian Brumley

Individual provider Active NPI Clinical Social Worker · Hugo, OK

NPI 1659601482 · NPPES record last updated Dec 29, 2009

Key facts

NPI
1659601482
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
1717 1/2 W Jackson St
Hugo, OK 74743-5655
Phone
(580) 326-9475
NPI assigned
Dec 29, 2009
Sex
Male
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
Red River Counseling Center, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

1717 1/2 W Jackson St
Hugo, OK 74743-5655

Mailing address

PO Box 831
Hugo, OK 74743-0831
Phone (580) 326-9475

Other providers in Hugo, OK

All providers in Hugo, OK · Clinical Social Worker in Oklahoma

Sources for this page

Verify at the official NPI Registry.