Ms Tiffany Jo Tomaso-kelly, LCSW | |
109 N Fairland St., Pryor, OK 74361-4203 | |
(918) 629-3533 | |
Not Available |
Full Name | Ms Tiffany Jo Tomaso-kelly |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 109 N Fairland St., Pryor, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134135395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW.00000521 (Colorado) | Secondary |
1041C0700X | Social Worker - Clinical | 8089 (Oklahoma) | Primary |
Entity Name | Grand Lake Mental Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497762520 PECOS PAC ID: 4688711534 Enrollment ID: O20091026000174 |
Mailing Address | Practice Location Address |
---|---|
Ms Tiffany Jo Tomaso-kelly, LCSW 109 N Fairland St., Pryor, OK 74361-4203 Ph: () - | Ms Tiffany Jo Tomaso-kelly, LCSW 109 N Fairland St., Pryor, OK 74361-4203 Ph: (918) 629-3533 |
Tiffany Nicole Tottress, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 109 N Fairland St, Pryor, OK 74361 Phone: 918-825-1405 Fax: 918-825-1406 | |
Floyd Grant, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 N Fairland St, Suite 101, Pryor, OK 74361 Phone: 918-825-2884 | |
Christie Hilsheimer, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 109 N Fairland St, Pryor, OK 74361 Phone: 918-825-1406 Fax: 918-876-3436 | |
Allison Rose, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 N Fairland St, Pryor, OK 74361 Phone: 539-240-4411 | |
Ms. Jennifer Noelle Pettijohn, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 109 N Fairland St., Pryor, OK 74361 Phone: 918-825-1405 Fax: 918-825-1406 | |
Taylor Autumn Andoe, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 109 N Fairland St, Pryor, OK 74361 Phone: 918-825-1405 Fax: 918-825-1406 |