MR. JACK D NORRELL (LCSW) – Mental Health Counselor, NPI 1467497438

MR. JACK D NORRELL (LCSW) is a healthcare provider. based in Lawton, Oklahoma. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 2313 (OK). The NPI Number for MR. JACK D NORRELL (LCSW) is 1467497438

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. JACK D NORRELL (LCSW)
NPI
1467497438
Phone
(580) 536-3900
Address
6205 W GORE BLVD
Enumeration Date
16 June 2006
Last Update Date
26 May 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5806950101
Graduation Year
1996 (30 years ago)
PAC ID
9133284771
Professional Enrollment ID
I20090216000431
Address ID
OK735057123LA2701XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

628 CLINICAL SOCIAL WORKER in OK

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Provider Addresses for MR. JACK D NORRELL (LCSW)

  • Southwest Gore Boulevard, Lawton, Comanche County, Oklahoma, 73505, United States

    LAWTON, OK 735055836

    Phone: (580) 536-3900

    Fax: (580) 357-8787

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-02-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090216000431IClinical Social WorkerOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour22215$0
View full utilization report →

Insurance plans in this area (ZIP 73505)

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Reviews

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Frequently asked questions

What unique ID ties claims to MR. JACK D NORRELL (LCSW)?
NPI 1467497438 is assigned to MR. JACK D NORRELL (LCSW) under the national enumeration system.
Is MR. JACK D NORRELL (LCSW) active in the national directory?
MR. JACK D NORRELL (LCSW)'s public NPI profile is in an active state.
What field does MR. JACK D NORRELL (LCSW) work in?
You can think of MR. JACK D NORRELL (LCSW) as practicing within Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. JACK D NORRELL (LCSW)?
The page summarizes Lawton, Oklahoma for MR. JACK D NORRELL (LCSW); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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