| Micala Cooper, | |
|
1510 E Shawnee Cir, Tahlequah, OK 74464-2528 | |
| (918) 772-4004 | |
| Not Available |
| Full Name | Micala Cooper |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1510 E Shawnee Cir, Tahlequah, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225591258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6707-P (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Micala Cooper, 1510 Shawnee Circle, Tahlequah, OK 74464 Ph: (918) 772-4004 | Micala Cooper, 1510 E Shawnee Cir, Tahlequah, OK 74464-2528 Ph: (918) 772-4004 |
Quentin Sigman, LMSW U/S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19600 E Ross St, Tahlequah, OK 74464 Phone: 539-234-3551 | |
Ms. Pamela Kay Rusco, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 S Bliss Avenue, Cherokee Nation Behavioral Health, Tahlequah, OK 74464 Phone: 918-458-3170 Fax: 918-458-3610 | |
Sara Kay Perry, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16414 W 760 Rd, Tahlequah, OK 74464 Phone: 918-708-9009 | |
Michelle Lynn Deason, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 223 S College Ave, Tahlequah, OK 74464 Phone: 918-507-0711 Fax: 918-207-1661 | |
Dawn Ballew, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 315 N College Ave, Tahlequah, OK 74464 Phone: 918-453-1171 | |
Ethan Randall, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 308 E Downing St, Tahlequah, OK 74464 Phone: 918-931-3995 |