Individual ProviderElizabeth A JackmanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address6655 S Yale Ave, Laureate Psychiatric Clinic And Hospital, Tulsa, OK 74136-3326(918) 491-3762(918) 488-6001PECOS EnrollmentBased on the most recent information from CMS, provider Elizabeth A Jackman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:47 AM.Profile DetailsProvider ID1760451926Provider TypeIndividualFull NameJackman, Elizabeth ACredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date3/17/2006Last Updated1/31/2017Contact InformationPractice LocationPractice Address6655 S Yale Ave, Laureate Psychiatric Clinic And Hospital, Tulsa, OK 74136-3326Phone(918) 491-3762Fax(918) 491-5740Mailing LocationMailing AddressPO Box 21228, Department 31, Tulsa, OK 74121-1228Phone(918) 488-6001Fax(918) 502-7825Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense2140OklahomaProvider IdentifiersIDDescriptionIssuerID2238115DescriptionOtherIssuerCIGNA BEHAVIORAL HEALTH