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NPI Code Detail

MEDICARE: KATHRYN HART MSW, LCSW

MEDICARE:   KATHRYN  HART  MSW, 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 Worker34011043AIN

General Provider Information

NPI Number : 1396563474
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN HART MSW, LCSW
Provider Business Mailing Address
First Line : 8558 BROADWAY
Second Line :
City : MERRILLVILLE
State : IN
Zip : 46410-7032
Country : US
Telephone Number : 219-392-7084
Fax Number : 219-703-6854
Provider Business Practice Location Address
First Line : 10191 BROADWAY
Second Line :
City : CROWN POINT
State : IN
Zip : 46307-8801
Country : US
Telephone Number : 219-703-2323
Fax Number : 219-703-6520
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2024
Last Update Date : 06/01/2026

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