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NPI 1659414977

NPI 1659414977 : PATRICIA JANE CORBIN LSW, ACSW, LCAC : GREENSBURG, IN

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General NPI Number Information
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    NPI Number           |    1659414977
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICIA JANE CORBIN LSW, ACSW, LCAC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/15/2007
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    Last Update Date     |    07/30/2025
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Provider Practice Location Address
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    Address Line         |    1530 N COMMERCE W DR 
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    City                 |    GREENSBURG
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    State                |    IN
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    Zip                  |    47240-3205
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    Country              |    US
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    Telephone            |    812-663-7057
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1531 13TH ST STE 2540 
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    City                 |    COLUMBUS
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    State                |    IN
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    Zip                  |    47201-1305
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    Country              |    US
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    Telephone            |    812-372-3745
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    Fax                  |    812-372-5367
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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       |    33004898A
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    License Number State |    IN
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Taxonomy #2
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    87000036A
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    License Number State |    IN
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