Healthcare Provider Details

I. General information

NPI: 1841413945
Provider Name (Legal Business Name): KARA LYNN GLENDENING LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARA LYNN SCHERLE MSW

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 01/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 W 13TH ST SUITE 101
JASPER IN
47546-1855
US

IV. Provider business mailing address

PO BOX 1028
JASPER IN
47547-1028
US

V. Phone/Fax

Practice location:
  • Phone: 812-481-5780
  • Fax:
Mailing address:
  • Phone: 812-481-1088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number99026175A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: