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General NPI Number Information
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NPI Number | 1386529089
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Entity Type | Individual
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Provider Name | JENNIFER BRANDT LSW
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Gender | Female
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 101 N PLAZA EAST BLVD STE 312
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City | EVANSVILLE
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State | IN
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Zip | 47715-2871
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Country | US
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Telephone | 812-550-9219
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Fax | 812-901-6151
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Provider Business Mailing Address
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Address Line | PO BOX 1649
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City | EVANSVILLE
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State | IN
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Zip | 47706-0050
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Country | US
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Telephone | 812-550-9219
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Fax | 812-901-6151
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 33013071A
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License Number State | IN
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