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NPI Code Detail

MEDICARE: JOHN FROMME LCSW

MEDICARE: JOHN FROMME 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 Worker34004185AIN

General Provider Information

NPI Number : 1285624908
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN FROMME LCSW
Provider Business Mailing Address
First Line : PO BOX 769
Second Line :
City : JASPER
State : IN
Zip : 47547-0769
Country : US
Telephone Number : 812-482-3020
Fax Number : 812-482-6409
Provider Business Practice Location Address
First Line : 1443 9TH ST
Second Line :
City : TELL CITY
State : IN
Zip : 47586-1407
Country : US
Telephone Number : 812-482-3020
Fax Number : 812-482-6409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 07/08/2007

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Directions to “ JOHN FROMME LCSW” Practice Location

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