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General NPI Number Information
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NPI Number | 1801429220
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Entity Type | Individual
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Provider Name | JENNIFER ADDINGTON MSW,LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/13/2020
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 2615 EDWARDS ST
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City | ALTON
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State | IL
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Zip | 62002-3915
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Country | US
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Telephone | 618-462-2331
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Fax | 618-462-7160
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Provider Business Mailing Address
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Address Line | 902 W MAIN ST
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City | WEST FRANKFORT
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State | IL
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Zip | 62896-2210
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Country | US
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Telephone | 618-326-2772
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Fax | 618-937-1440
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.030197
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License Number State | IL
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