Kristin Avance, LMSW, LCSW | |
1277 Skill Center Cir, Tahlequah, OK 74464-6495 | |
(918) 772-4004 | |
(918) 431-1173 |
Full Name | Kristin Avance |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1277 Skill Center Cir, 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 |
---|---|---|---|
1598143984 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6233 (Oklahoma) | Primary |
Entity Name | Northeastern Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457574170 PECOS PAC ID: 1456255025 Enrollment ID: O20031125000250 |
Mailing Address | Practice Location Address |
---|---|
Kristin Avance, LMSW, LCSW 1510 E Shawnee Cir, Tahlequah, OK 74464-2528 Ph: (918) 772-4004 | Kristin Avance, LMSW, LCSW 1277 Skill Center Cir, Tahlequah, OK 74464-6495 Ph: (918) 772-4004 |
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 | |
Dawn Ballew, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 315 N College Ave, Tahlequah, OK 74464 Phone: 918-453-1171 |