Advocates for Change Family Services, PLLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

ADVOCATES FOR CHANGE FAMILY SERVICES, PLLC

Practice address

610 N. Broadway Ave,
Shawnee, OK 74801-6202

Phone

(405) 615-2447

Fax

(405) 432-5071

NPI assigned

Apr 23, 2019

Last updated

Nov 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Mary Jo Brazier, LCSWNPI 1639478258

Title

LCSW, Sole Owner

Phone

(405) 615-2447

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary J Brazier, M.S.W

  • Clinical Social Worker
  • Shawnee, OK
  • NPI 1639478258
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700784000000",
    "number": "1740844968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3202",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "74802",
            "telephone_number": "405-615-2447",
            "fax_number": "405-432-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N. BROADWAY AVE,",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748016202",
            "telephone_number": "405-615-2447",
            "fax_number": "405-432-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATES FOR CHANGE FAMILY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2023-11-24",
        "status": "A",
        "authorized_official_last_name": "BRAZIER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "LCSW, SOLE OWNER",
        "authorized_official_telephone_number": "405-615-2447",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200842400A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Britton Adams, OD
• Kimberly Ann Adams, LPC-C
• Ryan Adams, MD
• Susan Adcock
• Advance Physicians Group (First Med Urgent Care)
• Ryan Kyle Aldrich, MD
• Cassandra Alexander, M.ED.
• Dustin Wayne Alexander, APRN
• Rhonda Alexander
• Alexandria Dialysis LLC (Shawnee Peritoneal Dialysis)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.