| Teresa Ann Leake, MSSW, ACSW | |
|
322 South Ross Street, Vinita, OK 74301-3930 | |
| (918) 244-1685 | |
| (918) 256-3661 |
| Full Name | Teresa Ann Leake |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 322 South Ross Street, Vinita, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922245760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0890 (Oklahoma) | Primary |
| Entity Name | Millennium Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245286285 PECOS PAC ID: 6204730856 Enrollment ID: O20040105000859 |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa Ann Leake, MSSW, ACSW P.o. Box 238, Vinita, OK 74301-3930 Ph: (918) 244-1685 | Teresa Ann Leake, MSSW, ACSW 322 South Ross Street, Vinita, OK 74301-3930 Ph: (918) 244-1685 |
Mrs. Susan Elizabeth Kent, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 269 S 7th St, Vinita, OK 74301 Phone: 918-713-5400 | |
Jennifer D Barnes, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 735 N Foreman St, Vinita, OK 74301 Phone: 918-256-9201 | |
Dodie Keith, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 735 N Foreman St, Vinita, OK 74301 Phone: 918-256-9201 Fax: 918-256-9205 |