Amanda Renee McKitrick
Individual provider Active NPI Clinical Social Worker · Antlers, OK
NPI 1154839892 · NPPES record last updated Apr 17, 2024
Key facts
- NPI
- 1154839892
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 7911 (OK)
- Practice address
- 107 S High St
Antlers, OK 74523-3818 - Phone
- (580) 298-2830
- NPI assigned
- Jan 16, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241021000102 | OK | Practitioner - Clinical Social Worker | 8628500238 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7911 | OK | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighter Heights Oklahoma, LLC | Current | Accepting new patients | |
| Brighter Heights Oklahoma, LLC | Current |
Accepting new patients | |
| Brighter Heights Oklahoma, LLC | Current |
Accepting new patients |
Locations
107 S High St
Antlers, OK 74523
Phone (580) 298-2830
2816 E Jackson St
Hugo, OK 74743
Phone (580) 326-2155
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7911 | OK | Yes |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
107 S High St
Antlers, OK 74523-3818
Mailing address
625 25TH St SE
Paris, TX 75460-6211
Other providers in Antlers, OK
- Shauna McArthur
- Caitlyn McCarn
- Richadeena McClain
- Maurice Mario McFarland
- Dorothy McKinnon
- Stormi McKnight
- Desiree Meredith-Menchaca
- Jagger Reed Meshaya
- Mfi Enterprises Dba Couseling Center of SE Oklahoma
- Christy Ann Milam
All providers in Antlers, OK · Clinical Social Worker in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.