Mrs Brenda Lee Wallace, MSW, LCSW is a
Social Worker - Clinical based in Okeene, Oklahoma. Mrs Brenda Lee Wallace is licensed to practice in Oklahoma (license number 3137) and her current practice location is
323 N 3rd St, Okeene, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(580) 822-1703.
NPI number for Mrs Brenda Lee Wallace is 1275546848 and her current mailing address is 323 N 3rd St, Okeene, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275546848.
Healthcare Provider's Profile
Full Name | Mrs Brenda Lee Wallace |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 323 N 3rd St, Okeene, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275546848
- Provider Enumeration Date: 08/14/2006
- Last Update Date: 06/09/2025
Medical Identifiers
Medical identifiers for Mrs Brenda Lee Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275546848 | NPI | - | NPPES |
200463070B | Medicaid | OK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 3137 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Brenda Lee Wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Brenda Lee Wallace, MSW, LCSW 323 N 3rd St, Okeene, OK 73763-9375 Ph: (580) 822-1703 | Mrs Brenda Lee Wallace, MSW, LCSW 323 N 3rd St, Okeene, OK 73763-9375 Ph: (580) 822-1703 |
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