Jack D Norrell LCSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2313 Issued in OK

Legal business name

JACK D NORRELL LCSW PC

Practice address

6205 W Gore Blvd
Lawton, OK 73505-5836

Phone

(580) 536-3900

Fax

(580) 357-8787

NPI assigned

Dec 14, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Ronda F Norrell

Title

Administrator

Phone

(580) 536-3900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jack D Norrell, LCSW

  • Mental Health Counselor
  • Lawton, OK
  • NPI 1467497438
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1447553466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055836",
            "telephone_number": "580-536-3900",
            "fax_number": "580-357-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6205 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055836",
            "telephone_number": "580-536-3900",
            "fax_number": "580-357-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK D NORRELL LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "NORRELL",
        "authorized_official_first_name": "RONDA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "580-536-3900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "2313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Dean Nolan OD Inc
• J J Young (Cataract Center Anesthesia Group)
• J J Young MD (The Cataract Center of Lawton)
• Amira Jabai, BS
• Susan Jachim, BSN RB CMGT-BC
• Jack D Norrell, LCSW
• Kelly Jackson-Reavis
• Kadian Jackson
• Marshellen Denise Jackson
• Michael D Jackson, D.D.S

• Clinical Social Worker in Lawton, OK
• Providers in Lawton, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.