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NPI Code Detail

MEDICARE: MRS. LAURA LEE LEDGERWOOD LCSW

MEDICARE:  MRS. LAURA LEE LEDGERWOOD  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 Worker34011142AIN

General Provider Information

NPI Number : 1255265872
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURA LEE LEDGERWOOD LCSW
Provider Business Mailing Address
First Line : 756 WHEATGRASS DR
Second Line :
City : GREENWOOD
State : IN
Zip : 46143-6823
Country : US
Telephone Number : 317-372-8615
Fax Number :
Provider Business Practice Location Address
First Line : 756 WHEATGRASS DR
Second Line :
City : GREENWOOD
State : IN
Zip : 46143-6823
Country : US
Telephone Number : 317-372-8615
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “ MRS. LAURA LEE LEDGERWOOD LCSW” Practice Location

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