Mr Richard S Waguespack Jr, BTH, LCSW | |
603 W Gary Blvd, Clinton, OK 73601-2715 | |
(580) 500-8050 | |
(888) 344-9087 |
Full Name | Mr Richard S Waguespack Jr |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 36 Years |
Location | 603 W Gary Blvd, Clinton, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922361393 | NPI | - | NPPES |
200506970-B | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 4389 (Oklahoma) | Primary |
Entity Name | New Life Counseling Alliance |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568176741 PECOS PAC ID: 4981077815 Enrollment ID: O20230223002824 |
Mailing Address | Practice Location Address |
---|---|
Mr Richard S Waguespack Jr, BTH, LCSW 303 N Market St, Cordell, OK 73632-4229 Ph: (580) 500-8050 | Mr Richard S Waguespack Jr, BTH, LCSW 603 W Gary Blvd, Clinton, OK 73601-2715 Ph: (580) 500-8050 |
Danna Kent, M.E. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 90 N 31st St, Clinton, OK 73601 Phone: 580-323-6021 Fax: 580-323-0828 | |
Haley C Kinney, BS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 90 N 31st St, Clinton, OK 73601 Phone: 580-323-6021 Fax: 580-323-0828 | |
Kandace Leah Brown, BS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 416 N 4th St, Clinton, OK 73601 Phone: 580-799-3024 | |
Kateri D Fletcher, BS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 90 N 31st St, Clinton, OK 73601 Phone: 580-323-6021 Fax: 580-323-0828 | |
Victoria Paige Widener, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 90 N 31st St., Clinton, OK 73601 Phone: 580-323-9770 Fax: 580-331-2007 | |
Sharon K Kisinger, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 90 N 31st St, Clinton, OK 73601 Phone: 580-323-6021 Fax: 580-323-0828 | |
Mrs. Debra Kaye Marlett-campbell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 70 N 31st St, Clinton, OK 73601 Phone: 580-323-5635 Fax: 580-323-5635 |