Penelope C Holloway, LCSW | |
14025 N Eastern Ave, Apt 2318, Edmond, OK 73013-5588 | |
(405) 361-0777 | |
Not Available |
Full Name | Penelope C Holloway |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 14025 N Eastern Ave, Edmond, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265986079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 3653 (Oklahoma) | Primary |
Entity Name | Millennium Medical Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245286285 PECOS PAC ID: 6204730856 Enrollment ID: O20040105000859 |
Entity Name | Ou Health Partners Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618 |
Mailing Address | Practice Location Address |
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Penelope C Holloway, LCSW 14025 N Eastern Ave, Apt 2318, Edmond, OK 73013-5588 Ph: (405) 361-0777 | Penelope C Holloway, LCSW 14025 N Eastern Ave, Apt 2318, Edmond, OK 73013-5588 Ph: (405) 361-0777 |
Ms. Connie Lynn Schlittler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3608 Chickasaw Dr, Edmond, OK 73013 Phone: 405-340-2553 | |
Christy V Wilson, LCSW, CDMS, CRC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 N Bryant Ave Ste A5, Edmond, OK 73034 Phone: 405-640-5270 | |
Darrell Roy Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1717 W 33rd St, Edmond, OK 73013 Phone: 405-216-5608 | |
Quisha Boyles, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18528 Rastro Dr, Edmond, OK 73012 Phone: 495-863-4898 | |
Andrea Michelle Blank, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 E 15th St, Suite 500a, Edmond, OK 73013 Phone: 405-888-5299 Fax: 405-888-5322 | |
Miss Gidget Warner, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2 E 11th St Ste 108, Edmond, OK 73034 Phone: 405-285-8826 Fax: 405-844-7232 | |
Traci Lynn Schaeffer, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4509 Integris Pkwy Ste 200, Edmond, OK 73034 Phone: 405-657-3476 |