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NPI Code Detail

MEDICARE: CHERELLE BERRY

MEDICARE: CHERELLE BERRY
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
11041C0700XClinical Social Worker22140OK

General Provider Information

NPI Number : 1720605975
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERELLE BERRY
Provider Business Mailing Address
First Line : 6216 S LEWIS AVE STE 102
Second Line :
City : TULSA
State : OK
Zip : 74136-1075
Country : US
Telephone Number : 918-291-3956
Fax Number :
Provider Business Practice Location Address
First Line : 6216 S LEWIS AVE STE 102
Second Line :
City : TULSA
State : OK
Zip : 74136-1075
Country : US
Telephone Number : 918-291-3956
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2020
Last Update Date : 03/03/2026

Similar Medicare Providers

1649526948 — MORLA E. THOMPSON LPC CANDIDATE, NCC
Practice Location Address:
6216 S LEWIS AVE STE 102
TULSA, OK
74136-1075
Practice Phone: 918-960-7852
Practice Fax:
1851736920 — MS. SUSAN MARIE BREDEMEYER LPC
Practice Location Address:
6216 S LEWIS AVE STE 102
TULSA, OK
74136-1075
Practice Phone: 539-286-3955
Practice Fax:
1942683461 — MR. MATTHEW WAYNE RAULSTON LCSW
Practice Location Address:
6216 S LEWIS AVE STE 102
TULSA, OK
74136-1075
Practice Phone: 918-268-7263
Practice Fax:
1043678451 — ALEXIS LABOUBE
Practice Location Address:
6216 S LEWIS AVE STE 102
TULSA, OK
74136-1075
Practice Phone: 918-960-7852
Practice Fax:
1851828057 — MS. DENISHA MCCARTER
Practice Location Address:
6216 S LEWIS AVE STE 102
TULSA, OK
74136-1075
Practice Phone: 918-960-7852
Practice Fax:
1285149765 — MR. WILLIAM CHARLES LAYMANCE LPC CANDIDATE
Practice Location Address:
6216 S LEWIS AVE STE 102
TULSA, OK
74136-1075
Practice Phone: 918-960-7852
Practice Fax:

Directions to “ CHERELLE BERRY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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