| Austin Ray Peery, LCSW | |
|
907 W Caddo St, Cleveland, OK 74020-4201 | |
| (918) 308-5511 | |
| (918) 205-2701 |
| Full Name | Austin Ray Peery |
|---|---|
| Gender | Male |
| Speciality | Social Worker |
| Location | 907 W Caddo St, Cleveland, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386018364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 20403 (Oklahoma) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Entity Name | Grand Lake Mental Health Center, Inc. |
|---|---|
| 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 |
|---|---|
| Austin Ray Peery, LCSW 907 W Caddo St, Cleveland, OK 74020-4201 Ph: (918) 308-5511 | Austin Ray Peery, LCSW 907 W Caddo St, Cleveland, OK 74020-4201 Ph: (918) 308-5511 |
Lisa Elledge, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1401 W Pawnee St, Cleveland, OK 74020 Phone: 918-358-2501 | |
Jordan Michael Westbrook, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 907 W Caddo St, Cleveland, OK 74020 Phone: 918-308-5511 | |
Linda Suzette Danks, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 907 W Caddo St, Cleveland, OK 74020 Phone: 918-308-5511 Fax: 918-205-2701 | |
Dustin James Lang, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 907 W Caddo St, Cleveland, OK 74020 Phone: 918-308-5511 Fax: 918-205-2701 | |
Olivia Grace Farrow, LMSW-P U/S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 907 W Caddo St, Cleveland, OK 74020 Phone: 844-458-2100 |