| Jordan Michael Westbrook, LCSW | |
|
907 W Caddo St, Cleveland, OK 74020-4201 | |
| (918) 308-5511 | |
| Not Available |
| Full Name | Jordan Michael Westbrook |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 12 Years |
| Location | 907 W Caddo St, Cleveland, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174093710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6003 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grand Lake Mental Health Center, Inc. | 4688711534 | 98 |
| Entity Name | Grand Lake Mental Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497762520 PECOS PAC ID: 4688711534 Enrollment ID: O20091026000174 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Michael Westbrook, LCSW 907 W Caddo St, Cleveland, OK 74020-4201 Ph: (918) 308-5511 | Jordan Michael Westbrook, LCSW 907 W Caddo St, Cleveland, OK 74020-4201 Ph: (918) 308-5511 |
Lisa Elledge, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1401 W Pawnee St, Cleveland, OK 74020 Phone: 918-358-2501 | |
Austin Ray Peery, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 907 W Caddo St, Cleveland, OK 74020 Phone: 918-308-5511 Fax: 918-205-2701 | |
Dustin James Lang, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 907 W Caddo St, Cleveland, OK 74020 Phone: 918-308-5511 Fax: 918-205-2701 | |
Olivia Grace Farrow, LMSW-P U/S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 907 W Caddo St, Cleveland, OK 74020 Phone: 844-458-2100 |