| Mrs Theresa E Stanley, LCSW | |
|
1500 Sw 104th St, Oklahoma City, OK 73159-7661 | |
| (405) 424-7711 | |
| Not Available |
| Full Name | Mrs Theresa E Stanley |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1500 Sw 104th 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 |
|---|---|---|---|
| 1508106089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5314 (Oklahoma) | Primary |
| Entity Name | Mosiac Centre |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255623930 PECOS PAC ID: 3870723802 Enrollment ID: O20170810000892 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Theresa E Stanley, LCSW 1301 Melisa Dr, Norman, OK 73071-4808 Ph: () - | Mrs Theresa E Stanley, LCSW 1500 Sw 104th St, Oklahoma City, OK 73159-7661 Ph: (405) 424-7711 |
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 | |
Sally Ray, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5009 N Pennsylvania Ave Ste 116, Oklahoma City, OK 73112 Phone: 405-204-6746 Fax: 405-879-2388 |