Mcquitty, Jody Lynn

Mcquitty, Jody Lynn is an individual health care provider with primary practice located at 19277 Fox Chase Dr , Noblesville IN 46062-6619. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mcquitty, Jody Lynn can be contacted via phone (317) 431-1352.

Contact Information

Primary practice address
19277 Fox Chase Dr Noblesville IN 46062-6619
Phone: (317) 431-1352
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 34005059A Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34005059A Indiana

Profile Details

NPI number 1215064647
LBN Legal business name Mcquitty, Jody Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Apr 5th, 2016 - about 8 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 1215064647 NPPES
Indiana MEDICAID 100270530

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