| Dane Libart Lcsw Llc | |
|
1426 Nw 38th St Oklahoma City OK 73118-2813 | |
| (405) 595-7217 | |
| Not Available |
| Full Name | Dane Libart Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1426 Nw 38th St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Dane Libart (OWNER) |
| Authorized Official Contact | 4055957217 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dane Libart Lcsw Llc 1426 Nw 38th St Oklahoma City OK 73118-2813 Ph: (405) 595-7217 | Dane Libart Lcsw Llc 1426 Nw 38th St Oklahoma City OK 73118-2813 Ph: (405) 595-7217 |
| NPI Number | 1184393324 |
|---|---|
| Provider Enumeration Date | 09/10/2021 |
| Last Update Date | 09/10/2021 |
| Certification Date | 09/10/2021 |
| Medicare PECOS PAC ID | 4385042852 |
|---|---|
| Medicare Enrollment ID | O20211013003221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184393324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dane T Libart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992057699 PECOS PAC ID: 5294133765 Enrollment ID: I20211013003301 |
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