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NPI Code Detail

MEDICARE: CATHY JANE DENTON LCSW

MEDICARE: CATHY JANE DENTON 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 Worker34005204IN
21041C0700XClinical Social Worker34005204AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952497562
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHY JANE DENTON LCSW
Provider Business Mailing Address
First Line : PO BOX 10299
Second Line :
City : FORT WAYNE
State : IN
Zip : 46851-0299
Country : US
Telephone Number : 574-546-1900
Fax Number : 574-546-1999
Provider Business Practice Location Address
First Line : 620 8TH AVE
Second Line :
City : TERRE HAUTE
State : IN
Zip : 47804-2771
Country : US
Telephone Number : 812-231-8323
Fax Number : 812-231-8400
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 07/02/2024

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Directions to “ CATHY JANE DENTON LCSW” Practice Location

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