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NPI 1326658568

NPI 1326658568 : JENNIFER STEINMETZ MSW LLC : BLOOMINGTON, IN

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General NPI Number Information
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    NPI Number           |    1326658568
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    Entity Type          |    Organization 
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    Legal Business Name  |    JENNIFER STEINMETZ MSW LLC 
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Dates
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    Enumeration Date     |    08/03/2020
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    Last Update Date     |    08/03/2020
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Provider Practice Location Address
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    Address Line         |    115 N COLLEGE AVE STE 225 
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    City                 |    BLOOMINGTON
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    State                |    IN
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    Zip                  |    47404-4099
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    Country              |    US
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    Telephone            |    812-325-1348
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3324 S ROLLING OAK DR 
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    City                 |    BLOOMINGTON
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    State                |    IN
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    Zip                  |    47401-8181
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    Country              |    US
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    Telephone            |    812-325-1348
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CLINICAL SOCIAL WORKER
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    Name                 |     JENNIFER MCGLASSON STEINMETZ 
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    Credential           |    LCSW
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    Telephone            |    812-325-1348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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