| Jeremy Paul Elledge, LCSW | |
|
1120 E Main St, Norman, OK 73071-5300 | |
| (405) 360-5100 | |
| (405) 364-3209 |
| Full Name | Jeremy Paul Elledge |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1120 E Main St, Norman, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457539975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4410 (Oklahoma) | Primary |
| Entity Name | State Of Oklahoma |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588755532 PECOS PAC ID: 4486558962 Enrollment ID: O20031125000846 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Paul Elledge, LCSW 2101 Memphis Dr, Norman, OK 73071-2013 Ph: (405) 642-9369 | Jeremy Paul Elledge, LCSW 1120 E Main St, Norman, OK 73071-5300 Ph: (405) 360-5100 |
Ms. Joanna Marie Schmidt, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 909 Alameda St, Norman, OK 73071 Phone: 405-573-3991 | |
Phyllis Gentry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 930 N Flood Ave, Norman, OK 73069 Phone: 405-321-3719 | |
Mrs. Bridgitte Bondzie-littlejohn, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3334 W Main St, Pmb #108, Norman, OK 73072 Phone: 405-928-9058 | |
Brandy Nicole Sanders, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4236 Bradfordbrook Dr, Norman, OK 73072 Phone: 405-550-3983 | |
Kathryn Osinde, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 448 36th Ave Nw Ste 101, Norman, OK 73072 Phone: 405-573-9905 | |
Shannon Canfield, LCSW-P, BHRS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 550 24th Ave Nw Ste G, Norman, OK 73069 Phone: 405-329-3349 | |
Ms. Judy R Crain, LCSW, LADC, CMIII Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 909 Alameda St, Norman, OK 73071 Phone: 405-573-3921 |