Lucy Cianciolo Wilson | Tulsa, OK • PECOS Search

Lucy Cianciolo Wilson

Social Worker

Behavioral Health & Social Service Providers

7145 S. Braden, Tulsa, OK 74136

PECOS Enrollment

Based on the most recent information from CMS, provider Lucy Cianciolo Wilson does not have current enrollment records in PECOS.

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

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

Profile Details

Provider ID
1972724920
Provider Type
Individual
Full Name
Wilson, Lucy Cianciolo
Title
Mrs.
Credential
MSSW, LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
5/1/2007
Last Updated
7/8/2007

Contact Information

Practice Location

7145 S. Braden, Tulsa, OK 74136

(918) 497-1206

Mailing Location

7145 S. Braden, Tulsa, OK 74136

(918) 497-1206

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 2466 Oklahoma