MEDICARE: BRIANA JANAE PATTERSON 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

General Provider Information

NPI Number	:	1891465712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANA JANAE PATTERSON LCSW

Provider Business Mailing Address
First Line	:	820 W DANFORTH RD # 1012
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73003-5006
Country	:	US
Telephone Number	:	405-347-1573
Fax Number	:

Provider Business Practice Location Address
First Line	:	820 W DANFORTH RD # 1012
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73003-5006
Country	:	US
Telephone Number	:	405-347-1573
Fax Number	:

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

Provider Enumeration Date	:	09/14/2021
Last Update Date	:	04/15/2026

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