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NPI Code Detail

MEDICARE: JODI MARR LCSW

MEDICARE: JODI MARR LCSW
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
11041C0700XClinical Social Worker112859CA

General Provider Information

NPI Number : 1003033218
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODI MARR LCSW
Provider Business Mailing Address
First Line : 2011 FRESNO ST
Second Line :
City : FRESNO
State : CA
Zip : 93721-1722
Country : US
Telephone Number : 559-457-6088
Fax Number :
Provider Business Practice Location Address
First Line : 2011 FRESNO ST
Second Line :
City : FRESNO
State : CA
Zip : 93721-1722
Country : US
Telephone Number : 559-457-3940
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 11/24/2025

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Directions to “ JODI MARR LCSW” Practice Location

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