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NPI Code Detail

MEDICARE: OSCAR MIDENCE LCSW

MEDICARE: OSCAR MIDENCE 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 Worker34012023AIN

General Provider Information

NPI Number : 1326932757
Entity Type Code : Individual
Provider Name (Legal Business Name) : OSCAR MIDENCE LCSW
Provider Business Mailing Address
First Line : 240 N TILLOTSON AVE
Second Line :
City : MUNCIE
State : IN
Zip : 47304-3988
Country : US
Telephone Number : 765-288-1928
Fax Number :
Provider Business Practice Location Address
First Line : 5230 E STOP 11 RD STE 300
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-6401
Country : US
Telephone Number : 317-961-5173
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2025
Last Update Date : 03/02/2026

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