Noonan, Jennifer

Noonan, Jennifer is an individual health care provider with primary practice located at 4900 Broadway , Gary IN 46408-4605. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Noonan, Jennifer can be contacted via phone (219) 237-5170.

Contact Information

Primary practice address
4900 Broadway Gary IN 46408-4605
Phone: (219) 237-5170
Fax: (219) 321-1931
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34004751A Indiana

Profile Details

NPI number 1386645331
LBN Legal business name Noonan, Jennifer
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jun 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386645331 NPPES
Indiana Other 000000333652 ANTHEM

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