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General NPI Number Information
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NPI Number | 1679124747
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Entity Type | Individual
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Provider Name | JODI L BARTON LSW
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Gender | Female
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Dates
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Enumeration Date | 09/20/2019
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 2100 N MAIN ST # 304
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City | CROWN POINT
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State | IN
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Zip | 46307-1877
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Country | US
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Telephone | 574-546-1900
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Fax | 574-546-1999
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Provider Business Mailing Address
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Address Line | 8921 N LAKE RD
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City | JASONVILLE
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State | IN
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Zip | 47438-7036
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Country | US
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Telephone | 812-798-2311
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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 | 99094120A
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License Number State | IN
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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 | 34012196A
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License Number State | IN
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