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NPI Code Detail

MEDICARE: SOPHIE BITTNER

MEDICARE:   SOPHIE  BITTNER
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 Worker34012900AIN

General Provider Information

NPI Number : 1558299206
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIE BITTNER
Provider Business Mailing Address
First Line : 4181 E 96TH ST STE 120
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46240-3814
Country : US
Telephone Number : 317-743-9823
Fax Number : 317-834-7730
Provider Business Practice Location Address
First Line : 1351 W BUENA VISTA RD
Second Line :
City : EVANSVILLE
State : IN
Zip : 47710-3338
Country : US
Telephone Number : 833-659-4357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2026
Last Update Date : 05/12/2026

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Directions to “ SOPHIE BITTNER ” Practice Location

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