Brooklyn Jo Dick, LSW
Social Worker in Indianapolis, IN. Individual provider (NPI-1).
NPI number1760164941
StatusActive
Last updated in NPPESAug 7, 2023
Details
- NPI
- 1760164941
- Entity type
- Individual (NPI-1)
- Name
- Brooklyn Jo Dick
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2023
- Certification date
- Aug 6, 2023
- Last updated
- Aug 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 33011492A | IN | Yes |
Practice location
9434 Haddington Dr WIndianapolis, IN 46256-1147
Phone 317-605-0356
Mailing address
9434 Haddington Dr WIndianapolis, IN 46256-1147
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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