Provider Demographics
NPI:1598957201
Name:RHODES, DANIEL HALBERT (MSW, LCSWP)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:HALBERT
Last Name:RHODES
Suffix:
Gender:M
Credentials:MSW, LCSWP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4436 NW 50TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-2212
Mailing Address - Country:US
Mailing Address - Phone:405-272-2733
Mailing Address - Fax:
Practice Address - Street 1:550 24TH AVE NW STE E
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-6210
Practice Address - Country:US
Practice Address - Phone:405-329-3349
Practice Address - Fax:405-364-3519
Is Sole Proprietor?:No
Enumeration Date:2007-08-16
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3445-P1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical