| Pamela Gail Sparks, LCSW | |
|
106 W 5th St, Okmulgee, OK 74447-7301 | |
| (918) 759-2100 | |
| (918) 759-2150 |
| Full Name | Pamela Gail Sparks |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 106 W 5th St, Okmulgee, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659560043 | NPI | - | NPPES |
| 300522336 | Other | OK | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4565 (Oklahoma) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 725 (Oklahoma) | Secondary |
| Entity Name | Watonga Indian Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558458794 PECOS PAC ID: 9032010111 Enrollment ID: O20040120001001 |
| Entity Name | El Reno Indian Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386725604 PECOS PAC ID: 5193627263 Enrollment ID: O20040121000487 |
| Entity Name | Clinton Indian Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205923448 PECOS PAC ID: 2163324237 Enrollment ID: O20040121000506 |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Gail Sparks, LCSW 106 W 5th St, Okmulgee, OK 74447-7301 Ph: (918) 759-2100 | Pamela Gail Sparks, LCSW 106 W 5th St, Okmulgee, OK 74447-7301 Ph: (918) 759-2100 |
Hollie Ledford, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 W 7th St, Okmulgee, OK 74447 Phone: 918-758-1930 | |
Miranda Carman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 W 7th St Ste 102, Okmulgee, OK 74447 Phone: 918-758-1910 Fax: 918-756-1270 | |
Gary Fred Blank, MSW, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 323 W 6th St, Okmulgee, OK 74447 Phone: 918-756-9250 Fax: 918-756-9187 | |
Debra Linn Hudgins, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 N Mission Ln, Okmulgee, OK 74447 Phone: 918-758-1910 | |
Mrs. Christy Marie Hall, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15495 Dentonville Rd, Okmulgee, OK 74447 Phone: 918-759-1017 |