Individual ProviderAnna Maria KettlewoodSocial WorkerBehavioral Health & Social Service ProvidersPractice Address7320 S Yale Ave Ste B, Tulsa, OK 74136-7034(918) 992-2335PECOS EnrollmentBased on the most recent information from CMS, provider Anna Maria Kettlewood does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:47 AM.Profile DetailsProvider ID1093489775Provider TypeIndividualFull NameKettlewood, Anna MariaCredentialMSW, LCSWGenderFemaleSole ProprietorNoEnumeration Date8/5/2021Last Updated10/31/2024Contact InformationPractice LocationPractice Address7320 S Yale Ave Ste B, Tulsa, OK 74136-7034Phone(918) 992-2335FaxUnlisted FaxMailing LocationMailing Address7320 S Yale Ave Ste B, Tulsa, OK 74136-7034Phone(918) 992-2335FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense20535OklahomaCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer