MEDICARE: DANIELLE DUNRUD LMSW-P; MSW U/S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	7684	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154919991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE DUNRUD LMSW-P; MSW U/S

Provider Business Mailing Address
First Line	:	2301 W COBURG PL
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73170-4840
Country	:	US
Telephone Number	:	805-801-0349
Fax Number	:

Provider Business Practice Location Address
First Line	:	3700 N CLASSEN BLVD STE 185
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-2881
Country	:	US
Telephone Number	:	405-225-1891
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2021
Last Update Date	:	01/07/2021

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Directions to “ DANIELLE DUNRUD LMSW-P; MSW U/S” Practice Location

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