| Amanda A Spears, LCSW | |
|
13334 S 21st St, Bixby, OK 74008-1040 | |
| (936) 404-7344 | |
| Not Available |
| Full Name | Amanda A Spears |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 13334 S 21st St, Bixby, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801446364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 9622-C (Arkansas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 126003 (Massachusetts) | Primary |
| Entity Name | Western Arkansas Counseling & Guidance Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326040692 PECOS PAC ID: 1355326174 Enrollment ID: O20040623001595 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda A Spears, LCSW 13334 S 21st St, Bixby, OK 74008-1040 Ph: (936) 404-7344 | Amanda A Spears, LCSW 13334 S 21st St, Bixby, OK 74008-1040 Ph: (936) 404-7344 |
Mrs. Valerie Moore, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13976 S 21st Pl E, Bixby, OK 74008 Phone: 918-200-8838 | |
Mr. Tom B Wages Iii, LCSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10703 E 111th St S, Bixby, OK 74008 Phone: 918-695-3336 | |
Felicia N Howlett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6997 E 126th St S, Bixby, OK 74008 Phone: 918-770-3741 |