| Mr Clark Irvin Grothe, LCSW | |
|
4436 Nw 50th St, Oklahoma City, OK 73112-2212 | |
| (405) 858-2826 | |
| Not Available |
| Full Name | Mr Clark Irvin Grothe |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 4436 Nw 50th St, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225478951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Stigler Health And Wellness Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891752853 PECOS PAC ID: 8022061373 Enrollment ID: O20050715000025 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Clark Irvin Grothe, LCSW 4436 Nw 50th St, Oklahoma City, OK 73112-2212 Ph: (405) 858-2826 | Mr Clark Irvin Grothe, LCSW 4436 Nw 50th St, Oklahoma City, OK 73112-2212 Ph: (405) 858-2826 |
Nancy K. Wood, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4045 Nw 64th St, Suite 520, Oklahoma City, OK 73116 Phone: 405-842-4911 Fax: 405-842-5807 | |
Mrs. Kateri Suzanna Bohanan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4913 W Reno Ave, Oklahoma City, OK 73127 Phone: 405-948-4900 | |
Monica Garrett, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-1000 | |
Kathryn Knight, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1025 Straka Ter, Oklahoma City, OK 73139 Phone: 405-632-6688 Fax: 405-604-0708 | |
Nicole Denise Fleming, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-1000 | |
Brianna Lamoso, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 11220 N Rockwell Ave, Oklahoma City, OK 73162 Phone: 405-632-6688 | |
Mr. John Michael Cloud, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2617 General Pershing Blvd, Oklahoma City, OK 73107 Phone: 405-858-2770 |