Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jack L. Fortenberry, LMSW

Individual provider Counselor · NPI 1023155645

Mr. Jack L. Fortenberry, LMSW is a Counselor in Choctaw, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

14625 NE 23rd St
Choctaw, OK 73020
Phone: (405) 390-8131
Fax: (405) 390-8134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 3030 (OK)

Record details

NPI number1023155645
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorNo
NPI enumeratedJanuary 31, 2007
Last updated in NPPESJuly 8, 2007

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