Jack D Norrell, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2313 Issued in OK

Practice address

6205 W Gore Blvd
Lawton, OK 73505-5836

Phone

(580) 536-3900

Fax

(580) 357-8787

NPI assigned

Jun 16, 2006

Last updated

May 26, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jack D Norrell LCSW PC

  • Clinical Social Worker
  • Lawton, OK
  • NPI 1447553466
  Medicare reassignment NPD

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1467497438",
    "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": {
        "last_name": "NORRELL",
        "first_name": "JACK",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "2313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Nixon, CCC-SLP
• Linda Rebecca Noble, MS
• J Dean Nolan, O.D.
• Susan Denise Nolan
• Joy Hamilton Nored, MBS LPC
• Teresa Ann Norrell, D.PH.
• Northlight Clarity LLC
• Emily Norton
• Jennifer I Nunez, OTD, OTR/L
• Billy Nunn, PHARMD

• Mental Health Counselor in Lawton, OK
• Providers in Lawton, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.