Provider Demographics
NPI:1326658568
Name:JENNIFER STEINMETZ MSW LLC
Entity Type:Organization
Organization Name:JENNIFER STEINMETZ MSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:MCGLASSON
Authorized Official - Last Name:STEINMETZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:812-325-1348
Mailing Address - Street 1:3324 S ROLLING OAK DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47401-8181
Mailing Address - Country:US
Mailing Address - Phone:812-325-1348
Mailing Address - Fax:
Practice Address - Street 1:115 N COLLEGE AVE STE 225
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47404-4099
Practice Address - Country:US
Practice Address - Phone:812-325-1348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-03
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)