Kim A Wright, LCSW | |
111 S Treaty Rd, Miami, OK 74354-5327 | |
(918) 540-1511 | |
(918) 542-7374 |
Full Name | Kim A Wright |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 111 S Treaty Rd, Miami, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427032085 | NPI | - | NPPES |
755752706 | Medicaid | MO | |
495752701 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2000148148 (Missouri) | Primary |
Entity Name | Renewed Mental Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871991653 PECOS PAC ID: 7012213853 Enrollment ID: O20160304000653 |
Mailing Address | Practice Location Address |
---|---|
Kim A Wright, LCSW 111 S Treaty Rd, Miami, OK 74354-5327 Ph: (918) 540-1511 | Kim A Wright, LCSW 111 S Treaty Rd, Miami, OK 74354-5327 Ph: (918) 540-1511 |
Mary Mauricella Hogan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 2nd Ave Sw, Miami, OK 74354 Phone: 918-540-7433 Fax: 918-540-7474 | |
Mr. Tracy D. Ellman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30 C St Ne, Miami, OK 74354 Phone: 918-540-1563 Fax: 918-542-7778 | |
Mr. Sidney Joe Pilkinton, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 118 A St Se, Miami, OK 74354 Phone: 918-533-3301 Fax: 918-533-3301 | |
Teresa L Deardorff, MSW U/S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 58150 E 66 Rd, Miami, OK 74354 Phone: 918-542-1786 | |
April Lemon, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 130 A St Sw, Miami, OK 74354 Phone: 918-542-1836 | |
Darwin Jay King, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 203 2nd Ave Sw, Miami, OK 74354 Phone: 918-542-6412 Fax: 918-542-6482 |