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General NPI Number Information
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NPI Number | 1063921385
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Entity Type | Individual
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Provider Name | SYDNEY JONES LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/29/2017
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 1719 ASHLEY CIRCLE SUITE LL1
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City | BOWLING GREEN
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State | KY
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Zip | 42104-5486
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Country | US
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Telephone | 270-970-1536
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Fax | --
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Provider Business Mailing Address
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Address Line | 1719 ASHLEY CIRCLE SUITE LL1
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City | BOWLING GREEN
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State | KY
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Zip | 42104-5486
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Country | US
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Telephone | 270-970-1536
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 255043
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License Number State | KY
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