| Amanda Renee Mckitrick, | |
|
107 S High St, Antlers, OK 74523-3818 | |
| (580) 298-2830 | |
| Not Available |
| Full Name | Amanda Renee Mckitrick |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 107 S High St, Antlers, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154839892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7911 (Oklahoma) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| Entity Name | Brighter Heights Oklahoma Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063576122 PECOS PAC ID: 5294031167 Enrollment ID: O20240819004343 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Renee Mckitrick, 625 25th St Se, Paris, TX 75460-6211 Ph: () - | Amanda Renee Mckitrick, 107 S High St, Antlers, OK 74523-3818 Ph: (580) 298-2830 |
Dorothy Mckinnon, MSW, LCSW, LADC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 107 S High St, Antlers, OK 74523 Phone: 580-298-2830 | |
Ms. Lahoma T Roebuck, MSW,LCSW,LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1322 W Main, Antlers, OK 74523 Phone: 580-298-5062 Fax: 580-298-9958 | |
Vanessa Nelson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 107 S High St, Antlers, OK 74523 Phone: 580-298-2830 Fax: 580-298-6723 | |
James Fracis Watza, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 107 S High St, Antlers, OK 74523 Phone: 580-298-2830 Fax: 580-298-6723 | |
Crystal Crabb-mcmikel, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 107 S High St, Antlers, OK 74523 Phone: 580-298-2830 |