Provider Demographics
NPI:1538443155
Name:LAYMON, JESSICA PAIGE (LCSW)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:PAIGE
Last Name:LAYMON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 N MORTON ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-9734
Mailing Address - Country:US
Mailing Address - Phone:317-474-5121
Mailing Address - Fax:317-534-1195
Practice Address - Street 1:2000 N MORTON ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-9734
Practice Address - Country:US
Practice Address - Phone:317-474-5121
Practice Address - Fax:317-534-1195
Is Sole Proprietor?:No
Enumeration Date:2011-09-30
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34006155A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical