Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629528302 Individual Practitioner Female Practitioner

Shannon Deatherage , BSW

Social Worker • Ada, OK

Professional Overview & Biography Verified Profile Summary

Shannon Deatherage, BSW is a registered healthcare professional specializing in Social Worker in Ada, OK. Practice services are available at 3115 ARLINGTON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3115 Arlington St

Ada, OK 748203085

Telephone 5803326345
Fax 5804217724

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Ada, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 9.9 Yrs
Regional Practice Density
11 Specialists

Practicing in Ada, OK (1567 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Kayla Carter

Case Manager/Care Coordinator

NPI 1083388060
Ashton Huffstutlar

Case Manager/Care Coordinator

NPI 1144966508
Ronda Sockey

Counselor - Addiction (Substance Use Disorder)

NPI 1164718805
Melanie Carson , BSW

Case Manager/Care Coordinator

NPI 1386372316

Bachelor of Social Work

Quincy Mcgee

Counselor

NPI 1518686450
Benita Erwin , LCSW

Social Worker - Clinical

NPI 1629012497

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 06, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 06, 2016

Registered at 3115 ARLINGTON ST, ADA, OK 748203085 (Tel: 5803326345)

📍
Updated Business Mailing Address October 06, 2016

Registered at 2119 HAWK CIR, ADA, OK 748206001 (Tel: 5803326345)

👤
Provider Name / Credentials Updated October 06, 2016

Recorded as SHANNON DEATHERAGE, BSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2016

Social Worker

🟢
Initial NPI Registration & Enumeration October 06, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629528302
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2016
Last Update: October 06, 2016
Sole Proprietor: No

Mailing Address

2119 Hawk Cir

Ada, OK 748206001

Phone: 5803326345

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.