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Susan Elizabeth Davis

Social Worker

Behavioral Health & Social Service Providers

6202 S Lewis Ave Ste J, Tulsa, OK 74136-1064

PECOS Enrollment

This provider is enrolled in PECOS as SUSAN DAVIS.

Based on the most recent information from CMS, provider Susan Elizabeth Davis is legally eligible to order and refer claims for DME services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:47 AM.

Profile Details

Provider ID
1306032560
Provider Type
Individual
Full Name
Davis, Susan Elizabeth
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/21/2007
Last Updated
1/20/2023

Contact Information

Practice Location

6202 S Lewis Ave Ste J, Tulsa, OK 74136-1064

(918) 392-7988

Unlisted Fax

Mailing Location

PO Box 1289, Glenpool, OK 74033-1289

(678) 588-7789

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6720 Oklahoma
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License MSW003837 Georgia
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License CSW005544 Georgia

Susan Elizabeth Davis

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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Danks, Linda Suzette

Christensen, Lindsey Ann

Hunt, Sidney Nelson

Foreman, Amy

Lee, Brandy Susana

Moody, Ramona S

Rogers, Karissa Kaye