Kristin E Smith, LCSW | |
112 W Main St, Purcell, OK 73080-4220 | |
(405) 527-1785 | |
(405) 527-1084 |
Full Name | Kristin E Smith |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 112 W Main St, Purcell, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982904322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 3958 (Oklahoma) | Primary |
Entity Name | Lighthouse Behavioral Wellness Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518997097 PECOS PAC ID: 6406748961 Enrollment ID: O20040329000653 |
Mailing Address | Practice Location Address |
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Kristin E Smith, LCSW 112 W Main St, Purcell, OK 73080-4220 Ph: (405) 527-1785 | Kristin E Smith, LCSW 112 W Main St, Purcell, OK 73080-4220 Ph: (405) 527-1785 |
Michelle Mauney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 W Main St, Purcell, OK 73080 Phone: 405-527-1785 | |
Amanda Heij, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 W Main St, Purcell, OK 73080 Phone: 405-527-1785 | |
Rachel Chapman, MSW U/S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 W Main St, Purcell, OK 73080 Phone: 405-527-1785 | |
Ms. Danica M. Lott, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1726 N Green Ave, Purcell, OK 73080 Phone: 405-767-8940 |