| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JANE KORSON | 1144007576 | 2023-09-11 |
Jane Korson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1144007576. Registration indicates Jane Korson is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Jane Korson MSW, LSW |
| Practice Office Address | 415 E MADISON ST SOUTH BEND, IN US |
| Practice Office Telephone | 5745331234 |
| Practice Office Fax | 5745372652 |
| Mailing Address | PO BOX 809 GOSHEN, IN 465270809 US |
| Business Telephone | 5745331234 |
| Business Fax | 5745372652 |
| Code | Practice | License No State |
|---|---|---|
| 104100000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker Behavioral Health/Substance Abuse/Psychiatry Social Worker Behavioral Health & Social Service Providers | 33011713A
IN |