Angela Dorene Gray, LSWA-P, CDSVRP
Individual provider Active NPI Case Manager/Care Coordinator · Coalgate, OK
NPI 1447950688 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1447950688
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 15845 State Highway 31
Coalgate, OK 74538-3865 - Phone
- (580) 579-1328
- NPI assigned
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
15845 State Highway 31
Coalgate, OK 74538-3865
Mailing address
15845 State Highway 31
Coalgate, OK 74538-3865
Other providers in Coalgate, OK
- Bailey Rose Crites
- Cathy Louise Edwards
- Family Health Center of Southern Oklahoma Inc
- Justin Farris
- Ruth Elaine Fereday
- Clayton Ray Griffith
- Emily Grubbs
- Helton Rural Health Clinic
- Richard J Helton
- Michael Dell Hendrix
All providers in Coalgate, OK · Case Manager/Care Coordinator in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.