Individual
JENNIFER LYNN PERRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8320 MADISON AVE, INDIANAPOLIS, IN 46227-6066
(317) 882-5122
Mailing address
8320 MADISON AVE, INDIANAPOLIS, IN 46227-6066
(317) 882-5122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008877A
IN
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102243898
ANTHEM PTAN
IN
05
—
300044251
—
IN
Enumeration date
08/17/2020
Last updated
05/27/2025
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