| Mr Tracy D Ellman, LCSW | |
|
30 C St Ne, Miami, OK 74354-6316 | |
| (918) 540-1563 | |
| (918) 542-7778 |
| Full Name | Mr Tracy D Ellman |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 30 C St Ne, Miami, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124359682 | NPI | - | NPPES |
| 100732380C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 4724 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tracy D Ellman, LCSW 30 C St Ne, Miami, OK 74354-6316 Ph: (918) 540-1563 | Mr Tracy D Ellman, LCSW 30 C St Ne, Miami, OK 74354-6316 Ph: (918) 540-1563 |
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. 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 | |
Kim A Wright, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 111 S Treaty Rd, Miami, OK 74354 Phone: 918-540-1511 Fax: 918-542-7374 | |
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 |