Ms Mavis Wyanema Risenhoover, LCSW | |
1407 Ne D St, Suite B, Stigler, OK 74462-2815 | |
(918) 967-8491 | |
(918) 967-2552 |
Full Name | Ms Mavis Wyanema Risenhoover |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1407 Ne D St, Stigler, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295807220 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 3198 (Oklahoma) | Primary |
Entity Name | State Of Oklahoma |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588755532 PECOS PAC ID: 4486558962 Enrollment ID: O20031125000846 |
Mailing Address | Practice Location Address |
---|---|
Ms Mavis Wyanema Risenhoover, LCSW 1101 E Monroe Ave, Mcalester, OK 74501-4815 Ph: (918) 426-7800 | Ms Mavis Wyanema Risenhoover, LCSW 1407 Ne D St, Suite B, Stigler, OK 74462-2815 Ph: (918) 967-8491 |
Taylor Nicole Wingo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 904 Nw 4th St, Stigler, OK 74462 Phone: 918-967-8223 | |
Susan Robinson Tolbert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 806 East Main St, Stigler, OK 74462 Phone: 918-967-4400 Fax: 918-967-4405 | |
Jana Kathleen Reynolds, LMSW-P Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 905 Nw 4th St, Stigler, OK 74462 Phone: 918-630-6842 Fax: 918-967-8203 | |
Winter Apple, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 904 Nw 4th St, Stigler, OK 74462 Phone: 918-967-8223 Fax: 918-967-8023 | |
Debra A Campbell, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 904 Nw 4th St, Stigler, OK 74462 Phone: 918-967-8223 Fax: 918-967-8203 | |
Whitney Michelle Long, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 505 Cherokee Hls, Stigler, OK 74462 Phone: 580-334-4306 Fax: 405-251-8241 |