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NPI Code Detail

MEDICARE: EMILY HELEN SPAGNUOLO LCSW

MEDICARE: EMILY HELEN SPAGNUOLO LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker33007674AIN
2104100000XSocial Worker33007674A

General Provider Information

NPI Number : 1235668914
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY HELEN SPAGNUOLO LCSW
Provider Business Mailing Address
First Line : 1531 13TH ST STE 2540
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-1305
Country : US
Telephone Number : 812-372-3745
Fax Number :
Provider Business Practice Location Address
First Line : 1531 13TH ST STE 2540
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-1305
Country : US
Telephone Number : 812-372-3745
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2017
Last Update Date : 07/21/2022

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Directions to “ EMILY HELEN SPAGNUOLO LCSW” Practice Location

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