MEDICARE: EMILY AZCONA LSW

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
1	104100000X	Social Worker	33013688A	IN

General Provider Information

NPI Number	:	1598550261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY AZCONA LSW

Provider Business Mailing Address
First Line	:	5024 BEECHWOOD RD
Second Line	:
City	:	AVON
State	:	IN
Zip	:	46123-8329
Country	:	US
Telephone Number	:	812-767-5752
Fax Number	:

Provider Business Practice Location Address
First Line	:	1811 S 10TH ST
Second Line	:
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-3838
Country	:	US
Telephone Number	:	317-776-8990
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2025
Last Update Date	:	02/17/2026

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Directions to “ EMILY AZCONA LSW” Practice Location

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