| Billy Wayne Holley, MSW, LCSW | |
|
301 S J T Stites St, Sallisaw, OK 74955-9302 | |
| (918) 775-9150 | |
| Not Available |
| Full Name | Billy Wayne Holley |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 301 S J T Stites St, Sallisaw, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447492111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 22478-C (Arkansas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 4698 (Oklahoma) | Primary |
| Entity Name | Cherokee Nation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
| Entity Name | Echota Behavioral Health Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407477920 PECOS PAC ID: 2264928746 Enrollment ID: O20260105002568 |
| Mailing Address | Practice Location Address |
|---|---|
| Billy Wayne Holley, MSW, LCSW 301 S J T Stites St, Sallisaw, OK 74955-9302 Ph: (918) 775-9150 | Billy Wayne Holley, MSW, LCSW 301 S J T Stites St, Sallisaw, OK 74955-9302 Ph: (918) 775-9150 |
Violet Marie Brogdon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 603 W Creek Ave, Sallisaw, OK 74955 Phone: 918-681-0319 |
Susan L Wickett, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 313 Robin Ln, Sallisaw, OK 74955 Phone: 609-346-8746 |