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

MS. Shelly Denise Jack, BHRSCMII

Individual provider Social Worker · NPI 1447520135

MS. Shelly Denise Jack, BHRSCMII is a Social Worker in Atoka, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

1088 S Gin Rd
Atoka, OK 74525-7378
Phone: (580) 239-2071
Fax: (580) 509-5041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X (OK)
Social Worker Taxonomy 104100000X

Record details

NPI number1447520135
Entity typeIndividual (Type 1)
GenderFemale
Credentials BHRSCMII
Sole proprietorYes
NPI enumeratedJanuary 11, 2012
Last updated in NPPESOctober 30, 2018

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