Provider Demographics
NPI:1649156480
Name:PARKER, BRENDON L (MSW)
Entity type:Individual
Prefix:
First Name:BRENDON
Middle Name:L
Last Name:PARKER
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 E SPRINGER AVE
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE
Mailing Address - State:OK
Mailing Address - Zip Code:73044-5127
Mailing Address - Country:US
Mailing Address - Phone:801-358-3862
Mailing Address - Fax:
Practice Address - Street 1:506 E SPRINGER AVE
Practice Address - Street 2:
Practice Address - City:GUTHRIE
Practice Address - State:OK
Practice Address - Zip Code:73044-5127
Practice Address - Country:US
Practice Address - Phone:801-358-3862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker