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Individual

JENNIFER HASSELL-GOODSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
34007453
IN
1041C0700X
Clinical Social Worker
Primary
34007453A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
839090020
MEDICARE
IN
Enumeration date
12/07/2015
Last updated
04/30/2026
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