William Niehaus, | |
1525 N Ritter Ave, Indpls, IN 46219 | |
(317) 621-7533 | |
Not Available |
Full Name | William Niehaus |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 10 Years |
Location | 1525 N Ritter Ave, Indpls, Indiana |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144328774 | NPI | - | NPPES |
100270530A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34008980A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Therapy Haus Behavioral Health, Llc | 8729443296 | 3 |
Entity Name | Jane Pauley Community Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730488818 PECOS PAC ID: 7618152729 Enrollment ID: O20150223000139 |
Entity Name | Therapy Haus Behavioral Health, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891499422 PECOS PAC ID: 8729443296 Enrollment ID: O20230505001343 |
Mailing Address | Practice Location Address |
---|---|
William Niehaus, 6950 Hillsdale Court, Indpls, IN 46250 Ph: () - | William Niehaus, 1525 N Ritter Ave, Indpls, IN 46219 Ph: (317) 621-7533 |
Joann Lichtenberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8320 Madison Ave, Indpls, IN 46227 Phone: 317-882-5122 Fax: 317-888-8642 | |
Bulva Lucas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8320 Madison Ave, Indpls, IN 46227 Phone: 317-882-5122 Fax: 317-888-8642 | |
Tejuana Garnes, LICENSED CLINICAL SO Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 W 10th St, Midtown Community Mental Health, Indpls, IN 46202 Phone: 317-630-8858 Fax: 317-630-7616 |