Dawn Ballew, | |
315 N College Ave, Tahlequah, OK 74464-2703 | |
(918) 453-1171 | |
Not Available |
Full Name | Dawn Ballew |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 315 N College Ave, Tahlequah, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386017374 | NPI | - | NPPES |
200606480 A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 4951 (Oklahoma) | Primary |
Entity Name | Blue Lotus Counseling Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235513045 PECOS PAC ID: 0345550992 Enrollment ID: O20151110002639 |
Mailing Address | Practice Location Address |
---|---|
Dawn Ballew, 19216 W Pettit Bay Rd, Park Hill, OK 74451-3010 Ph: (918) 453-1171 | Dawn Ballew, 315 N College Ave, Tahlequah, OK 74464-2703 Ph: (918) 453-1171 |
Quentin Sigman, LMSW U/S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19600 E Ross St, Tahlequah, OK 74464 Phone: 539-234-3551 | |
Ms. Pamela Kay Rusco, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 S Bliss Avenue, Cherokee Nation Behavioral Health, Tahlequah, OK 74464 Phone: 918-458-3170 Fax: 918-458-3610 | |
Crystal Williams, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 711 S Muskogee Ave, Tahlequah, OK 74464 Phone: 918-207-0078 | |
Micala Cooper, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1510 E Shawnee Cir, Tahlequah, OK 74464 Phone: 918-772-4004 | |
Sara Kay Perry, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16414 W 760 Rd, Tahlequah, OK 74464 Phone: 918-708-9009 | |
Michelle Lynn Deason, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 223 S College Ave, Tahlequah, OK 74464 Phone: 918-507-0711 Fax: 918-207-1661 |