Mrs Cari Gravel, LCSW | |
9905 S Pennsylvania Ave Ste A, Oklahoma City, OK 73159-6920 | |
(405) 394-5298 | |
Not Available |
Full Name | Mrs Cari Gravel |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 9905 S Pennsylvania Ave Ste A, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376061127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
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 |
Entity Name | Gravel Road Mental Health Services, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174260434 PECOS PAC ID: 1759765449 Enrollment ID: O20220830000792 |
Mailing Address | Practice Location Address |
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Mrs Cari Gravel, LCSW Po Box 904, Maud, OK 74854-0904 Ph: (405) 394-5298 | Mrs Cari Gravel, LCSW 9905 S Pennsylvania Ave Ste A, Oklahoma City, OK 73159-6920 Ph: (405) 394-5298 |
Nancy K. Wood, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4045 Nw 64th St, Suite 520, Oklahoma City, OK 73116 Phone: 405-842-4911 Fax: 405-842-5807 | |
Mrs. Kateri Suzanna Bohanan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4913 W Reno Ave, Oklahoma City, OK 73127 Phone: 405-948-4900 | |
Kathryn Knight, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1025 Straka Ter, Oklahoma City, OK 73139 Phone: 405-632-6688 Fax: 405-604-0708 | |
Nicole Denise Fleming, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-1000 | |
Brianna Lamoso, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11220 N Rockwell Ave, Oklahoma City, OK 73162 Phone: 405-632-6688 | |
Mr. John Michael Cloud, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2617 General Pershing Blvd, Oklahoma City, OK 73107 Phone: 405-858-2770 | |
Sally Ray, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5009 N Pennsylvania Ave Ste 116, Oklahoma City, OK 73112 Phone: 405-204-6746 Fax: 405-879-2388 |