| Michelle Mauney, LCSW | |
|
112 W Main St, Purcell, OK 73080-4220 | |
| (405) 527-1785 | |
| Not Available |
| Full Name | Michelle Mauney |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 112 W Main St, Purcell, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083191456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 21146 (Oklahoma) | Primary |
| Entity Name | Integris Ambulatory Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Mauney, LCSW 112 W Main St, Purcell, OK 73080-4220 Ph: (405) 527-1785 | Michelle Mauney, LCSW 112 W Main St, Purcell, OK 73080-4220 Ph: (405) 527-1785 |
Ciara Kirk, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 W Main St, Purcell, OK 73080 Phone: 405-527-1785 |
Kristina Beard, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 W Main St, Purcell, OK 73080 Phone: 405-527-1785 |
Ms. Danica M. Lott, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1726 N Green Ave, Purcell, OK 73080 Phone: 405-767-8940 |
Kristin E Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 W Main St, Purcell, OK 73080 Phone: 405-527-1785 Fax: 405-527-1084 |