Brandy Lee Whaler, LADC-MH, LMSW/ MSW
Counselor, Addiction (Substance Use Disorder) in Kansas, OK. Individual provider (NPI-1).
NPI number1295344166
StatusActive
Last updated in NPPESOct 3, 2024
Details
- NPI
- 1295344166
- Entity type
- Individual (NPI-1)
- Name
- Brandy Lee Whaler
- Credential
- LADC-MH, LMSW/ MSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 27, 2020
- Certification date
- Sep 30, 2024
- Last updated
- Oct 3, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 1470 | OK | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 1041C0700X | Social Worker, Clinical | 7966 | OK |
Practice location
282 S Hwy 10Kansas, OK 74347
Phone 918-868-8120 · Fax 918-525-0013
Mailing address
6567 E 583 RdRose, OK 74364-1223
Phone 918-506-7605
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