Jody R Lashbrook, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34005828A Issued in IN

Practice address

1807 Smith St
Logansport, IN 46947-1576

Phone

(574) 732-1414

Fax

(574) 732-0504

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jody R McKoon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1568599157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 HARCOURT RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602036",
            "telephone_number": "317-338-4703",
            "fax_number": "317-338-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 SMITH ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471576",
            "telephone_number": "574-732-1414",
            "fax_number": "574-732-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASHBROOK",
        "first_name": "JODY",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005828A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100464740",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "MCKOON",
            "middle_name": "R",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andria Land, LCSW
• Amy Lynn Langley, RBT
• Kailyn Marie Langley
• Rayna Joann Larrowe, RN
• Shawn G Larson, MD
• Catherine Ann Lawhorne, MA, LMHC
• Kenneth E Lawrence
• Kourtni Jade Lawton
• Jocelyn Laycock
• Kristen Layton, RBT

• Clinical Social Worker in Logansport, IN
• Providers in Logansport, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.