| Gretchen Louise Davis, LCSW | |
| 
					6440 S Lewis Ave Ste 2200, Tulsa, OK 74136  | |
| (417) 761-5214 | |
| Not Available | 
| Full Name | Gretchen Louise Davis | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 6440 S Lewis Ave Ste 2200, Tulsa, Oklahoma | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1700012374 | NPI | - | NPPES | 
| 200264580A | Medicaid | OK | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3735 (Oklahoma) | 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 | 
|---|---|
| Gretchen Louise Davis, LCSW 6440 S Lewis Ave Ste 2200, Tulsa, OK 74136-1060 Ph: (417) 761-5214  | Gretchen Louise Davis, LCSW 6440 S Lewis Ave Ste 2200, Tulsa, OK 74136 Ph: (417) 761-5214  | 
Mrs. Rebekah Elizabeth Kesler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2626 E 21st St, Tulsa, OK 74114 Phone: 918-900-2081  | |
Ms. Charlotte L Cribbs, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 S Peoria Ave, Tulsa, OK 74120 Phone: 918-587-9471 Fax: 918-560-1399  | |
Ms. Joella Mohrland Anglin, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1538 N Lewis Ave, Tulsa, OK 74110 Phone: 918-400-7001 Fax: 539-202-5070  | |
Julie Ann Kinzie, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 S Wheeling Ave, Suite 204, Tulsa, OK 74104 Phone: 918-403-7200 Fax: 918-293-3110  | |
Ms. Lindsey Brook Vandeventer, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11740 E 21st St, Tulsa, OK 74129 Phone: 918-437-9495  | |
Teresa Baker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4835 S Fulton Ave Ste 107, Tulsa, OK 74135 Phone: 918-712-8800  | |
Jessica Cannon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4444 E 41st St, Tulsa, OK 74135 Phone: 918-619-4400  |