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General NPI Number Information
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NPI Number | 1467070763
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Entity Type | Individual
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Provider Name | JENNIFER LYNN CROMER LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/13/2020
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 1310 24TH AVE S
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City | NASHVILLE
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State | TN
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Zip | 37212-2637
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Country | US
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Telephone | 629-259-1871
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Fax |
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Provider Business Mailing Address
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Address Line | 600 US 31W BYP STE 12
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City | BOWLING GREEN
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State | KY
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Zip | 42101-4905
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 254949
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW00001367
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License Number State | KY
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