Lashbrook, Jody R
Lashbrook, Jody R is an individual health care provider with primary practice located at 1807 Smith St , Logansport IN 46947-1576. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Lashbrook, Jody R can be contacted via phone (574) 732-1414.Contact Information
Primary practice address
1807 Smith St
Logansport IN 46947-1576
Phone: (574) 732-1414
Fax: (574) 732-0504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34005828A | Indiana |
Profile Details
| NPI number | 1568599157 |
|---|---|
| LBN Legal business name | Lashbrook, Jody R |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Dec 2nd, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568599157 | NPPES |
| Indiana | MEDICAID | 100464740 |
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