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NPI Code Detail

MEDICARE: JADEN S LIPSEY BSW

MEDICARE: JADEN S LIPSEY BSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorOK

General Provider Information

NPI Number : 1669305363
Entity Type Code : Individual
Provider Name (Legal Business Name) : JADEN S LIPSEY BSW
Provider Business Mailing Address
First Line : 2508 E 71ST ST STE C
Second Line :
City : TULSA
State : OK
Zip : 74136-5572
Country : US
Telephone Number : 918-704-6570
Fax Number :
Provider Business Practice Location Address
First Line : 2508 E 71ST ST STE C
Second Line :
City : TULSA
State : OK
Zip : 74136-5572
Country : US
Telephone Number : 918-704-6570
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “ JADEN S LIPSEY BSW” Practice Location

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