MEDICARE: MS. VALERIE BUTLER-MCDANIEL MSW, LCSW

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	1041C0700X	Clinical Social Worker	4734	OK
2	1041C0700X	Clinical Social Worker	21361	CA

General Provider Information

NPI Number	:	1548391725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VALERIE BUTLER-MCDANIEL MSW, LCSW

Provider Business Mailing Address
First Line	:	701 N KELLEY AVE UNIT 53214
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73152-3020
Country	:	US
Telephone Number	:	979-595-7293
Fax Number	:

Provider Business Practice Location Address
First Line	:	2801 PARKLAWN DR #303
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73110
Country	:	US
Telephone Number	:	979-595-7293
Fax Number	:

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

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	08/04/2020

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