| Ms Jacquelyn Denise Hutchens, LCSW | |
|
8866 Sw Sun Valley Dr, Lawton, OK 73505-5059 | |
| (706) 951-6786 | |
| Not Available |
| Full Name | Ms Jacquelyn Denise Hutchens |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 8866 Sw Sun Valley Dr, Lawton, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497165328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C009996 (North Carolina) | Primary |
| 1041C0700X | Social Worker - Clinical | C10889 (Mississippi) | Secondary |
| Entity Name | Opportunities Industrialization Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396103305 PECOS PAC ID: 3173563590 Enrollment ID: O20161104000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jacquelyn Denise Hutchens, LCSW 8866 Sw Sun Valley Dr, Lawton, OK 73505-5059 Ph: (706) 951-6786 | Ms Jacquelyn Denise Hutchens, LCSW 8866 Sw Sun Valley Dr, Lawton, OK 73505-5059 Ph: (706) 951-6786 |
Ms. Shirley Godfrey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 602 Sw 38th St, Lawton, OK 73505 Phone: 580-248-5780 Fax: 580-248-3610 | |
Mrs. Doris Langston, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 811 Sw B Ave, Ste A, Lawton, OK 73501 Phone: 580-353-7760 Fax: 580-353-7760 | |
Mrs. Darnel Deann Dorenkamp, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1307 W Gore Blvd, Ste B, Lawton, OK 73501 Phone: 580-355-1270 Fax: 580-595-4956 | |
Ms. Barbara Adler Young, LCSW,ACSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3811 W Gore Blvd Ste 6, Lawton, OK 73505 Phone: 580-250-2565 | |
Michelen Lopez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 602 Sw 38th St, Lawton, OK 73505 Phone: 580-248-5780 | |
Janice Koon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 602 Sw 38th St, Lawton, OK 73505 Phone: 580-248-5780 | |
Edward Howard, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3161 Hoskins Rd Bldg 3161, Lawton, OK 73503 Phone: 580-558-0980 |