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Gretchen Louise Davis

Social Worker

Behavioral Health & Social Service Providers

6440 S Lewis Ave Ste 2200, Tulsa, OK 74136

PECOS Enrollment

This provider is enrolled in PECOS as GRETCHEN DAVIS.

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

Part B
Medicare Part B
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
1700012374
Provider Type
Individual
Full Name
Davis, Gretchen Louise
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/9/2009
Last Updated
7/22/2025

Contact Information

Practice Location

6440 S Lewis Ave Ste 2200, Tulsa, OK 74136

(417) 761-5214

Unlisted Fax

Mailing Location

6440 S Lewis Ave Ste 2200, Tulsa, OK 74136-1060

(417) 761-5214

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 3735 Oklahoma

Provider Identifiers

ID	Description	Issuer
ID 200264580A	Description Medicaid	Issuer Unlisted Oklahoma

Gretchen Louise Davis

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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