Individual ProviderJacqueline L KluemperSocial WorkerBehavioral Health & Social Service ProvidersPractice Address6655 S Yale Ave, Laureate Psychiatric Clinic And Hospital, Tulsa, OK 74136-3326(918) 481-4000PECOS EnrollmentBased on the most recent information from CMS, provider Jacqueline L Kluemper 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 ID1982673174Provider TypeIndividualFull NameKluemper, Jacqueline LCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date3/17/2006Last Updated1/31/2017Contact InformationPractice LocationPractice Address6655 S Yale Ave, Laureate Psychiatric Clinic And Hospital, Tulsa, OK 74136-3326Phone(918) 481-4000Fax(918) 491-5740Mailing LocationMailing AddressPO Box 21228, Department 31, Tulsa, OK 74121-1228Phone(918) 481-4000Fax(918) 491-5740Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense1448OklahomaProvider IdentifiersIDDescriptionIssuerID2090275DescriptionOtherIssuerCIGNA BEHAVIORAL HEALTHID731308273 - 005DescriptionOtherIssuerBLUE CROSS B SHIELD OF OKOklahoma