Mccool, Jennifer Ann

Mccool, Jennifer Ann is an individual health care provider with primary practice located at 4411 Washington Ave Ste 300 , Evansville IN 47714-0900. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mccool, Jennifer Ann can be contacted via phone (812) 479-1916.

Contact Information

Primary practice address
4411 Washington Ave Ste 300 Evansville IN 47714-0900
Phone: (812) 479-1916
Fax: (812) 479-5014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34003926A Indiana

Profile Details

NPI number 1962471219
LBN Legal business name Mccool, Jennifer Ann
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Dec 6th, 2021 - about 3 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 1962471219 NPPES
Indiana MEDICAID 200238820

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