Motz, Jennifer Lynn

Motz, Jennifer Lynn is an individual health care provider with primary practice located at 603 N Wayne St , Angola IN 46703-1081. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Motz, Jennifer Lynn can be contacted via phone (260) 668-8797.

Contact Information

Primary practice address
603 N Wayne St Angola IN 46703-1081
Phone: (260) 668-8797
Fax: (260) 665-1620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34005718A Indiana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 34005718A Indiana

Profile Details

NPI number 1679691380
LBN Legal business name Motz, Jennifer Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Nov 3rd, 2009 - about 15 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 1679691380 NPPES
Indiana MEDICAID 200846380 A

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