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NPI Code Detail

MEDICARE: JODI PICKEL LCSW

MEDICARE:   JODI  PICKEL  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
11041C0700XClinical Social WorkerLC25472ME
21041C0700XClinical Social Worker089.0135100VT

General Provider Information

NPI Number : 1255038311
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODI PICKEL LCSW
Provider Business Mailing Address
First Line : 108 CENTRE ST STE 200
Second Line :
City : BATH
State : ME
Zip : 04530-2550
Country : US
Telephone Number : 207-386-1800
Fax Number : 207-517-6915
Provider Business Practice Location Address
First Line : 108 CENTRE ST STE 200
Second Line :
City : BATH
State : ME
Zip : 04530-2550
Country : US
Telephone Number : 207-386-1800
Fax Number : 207-517-6915
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2023
Last Update Date : 03/03/2026

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Directions to “ JODI PICKEL LCSW” Practice Location

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