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NPI Code Detail

MEDICARE: REYNA NAVARRO LCSW

MEDICARE: REYNA NAVARRO 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 Worker34009543AIN

General Provider Information

NPI Number : 1083140941
Entity Type Code : Individual
Provider Name (Legal Business Name) : REYNA NAVARRO LCSW
Provider Business Mailing Address
First Line : 1950 DOCTORS PARK DR
Second Line :
City : COLUMBUS
State : IN
Zip : 47203-2375
Country : US
Telephone Number : 812-269-2971
Fax Number :
Provider Business Practice Location Address
First Line : 1950 DOCTORS PARK DR
Second Line :
City : COLUMBUS
State : IN
Zip : 47203-2375
Country : US
Telephone Number : 812-269-2971
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2017
Last Update Date : 02/13/2025

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Directions to “ REYNA NAVARRO LCSW” Practice Location

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