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General NPI Number Information
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NPI Number | 1982912739
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Entity Type | Organization
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Legal Business Name | WHITINGTON HOMES & SERVICES FOR CHILDREN AND FAMILIES, INC
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 2423 FAIRFIELD AVE
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City | FORT WAYNE
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State | IN
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Zip | 46807-1210
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Country | US
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Telephone | 260-438-4029
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Fax |
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Provider Business Mailing Address
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Address Line | 2423 FAIRFIELD AVE
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City | FORT WAYNE
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State | IN
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Zip | 46807-1210
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Country | US
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Telephone | 260-438-4029
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | BETH GULINO
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Credential | M.S.W., L.C.S.W
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Telephone | 260-438-4029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number | 56812098 53404
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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