Ellisa Lee, is a
Social Worker - Clinical based in Spencer, Oklahoma. Ellisa Lee is licensed to practice in Oklahoma (license number 8248) and her current practice location is
2601 Spencer Rd, Spencer, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(405) 824-6432.
NPI number for Ellisa Lee is 1215401708 and her current mailing address is 2601 Spencer Rd, Spencer, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215401708.
Healthcare Provider's Profile
| Full Name | Ellisa Lee |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 2601 Spencer Rd, Spencer, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215401708
- Provider Enumeration Date: 01/17/2019
- Last Update Date: 06/22/2026
Medical Identifiers
Medical identifiers for Ellisa Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215401708 | NPI | - | NPPES |
| 200817140A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 8248 (Oklahoma) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8248 (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. Ellisa Lee 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 |
Ellisa Lee, 2601 Spencer Rd, Spencer, OK 73084-3649 Ph: (405) 824-6432 | Ellisa Lee, 2601 Spencer Rd, Spencer, OK 73084-3649 Ph: (405) 824-6432 |
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