Laura M Faulkner
Clinical Social Worker
4001 John St
Evansville
, Indiana 47714-0216
Laura M Faulkner
Clinical Social Worker
4001 John St
Evansville
, Indiana 47714-0216
(812) 422-7558
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Laura M Faulkner
- 415 Mulberry St
- Evansville, IN
- Zip : 47713-1230
- Fax : (812) 422-7558
- Phone : (812) 423-7791
Second Address
- Laura M Faulkner
- 4001 John St
- Evansville, IN
- Zip : 47714-0216
- Fax : (812) 422-7558
- Phone : (812) 473-3144
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | 34007154A | IN |
National Provider Identifier
| NPI | 1003188590 |
|---|---|
| Provider Name | Laura M Faulkner |
| First Address | Evansville, IN 47713-1230 |
| Second Address | Evansville, IN 47714-0216 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/01/2012 |
| Last Update Date | 09/10/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000918846 | ANTHEM (01) | |
| 12791110 | CAQH (01) | |
| 170768 | SIHO (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.