| Mrs Cari Gravel, LCSW | |
|
9905 S Pennsylvania Ave Ste A, Oklahoma City, OK 73159-6920 | |
| (405) 394-5298 | |
| Not Available |
| Full Name | Mrs Cari Gravel |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 9905 S Pennsylvania Ave Ste A, 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 |
|---|---|---|---|
| 1376061127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| Entity Name | Lighthouse Behavioral Wellness Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518997097 PECOS PAC ID: 6406748961 Enrollment ID: O20040329000653 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Cari Gravel, LCSW Po Box 904, Maud, OK 74854-0904 Ph: (405) 394-5298 | Mrs Cari Gravel, LCSW 9905 S Pennsylvania Ave Ste A, Oklahoma City, OK 73159-6920 Ph: (405) 394-5298 |
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: Not Enrolled in Medicare 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: Medicare Enrolled 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 |