Provider Demographics
NPI:1659613701
Name:DUMLER, JODI J (LSCSW)
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:J
Last Name:DUMLER
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 734
Mailing Address - Street 2:
Mailing Address - City:HOXIE
Mailing Address - State:KS
Mailing Address - Zip Code:67740
Mailing Address - Country:US
Mailing Address - Phone:402-640-7879
Mailing Address - Fax:
Practice Address - Street 1:1024 QUEEN AVE.
Practice Address - Street 2:
Practice Address - City:HOXIE
Practice Address - State:KS
Practice Address - Zip Code:67740
Practice Address - Country:US
Practice Address - Phone:402-640-7879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-26
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KST-LMSW 8736104100000X
KS45431041C0700X
IL1490188471041C0700X
MI68011002561041C0700X
MO20160313461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker