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9240 N Meridian St Ste 270 Indianapolis IN 46260-1876 | |
| (646) 241-6260 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 9240 N Meridian St Ste 270, Indianapolis, Indiana |
| Authorized Official Name and Position | Tara England (OWNER) |
| Authorized Official Contact | 6462416260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
11005 Thunderbird Dr Carmel IN 46032-7912 Ph: (646) 241-6260 | 9240 N Meridian St Ste 270 Indianapolis IN 46260-1876 Ph: (646) 241-6260 |
| NPI Number | 1841901022 |
|---|---|
| Provider Enumeration Date | 12/08/2022 |
| Last Update Date | 01/12/2023 |
| Certification Date | 01/12/2023 |
| Medicare PECOS PAC ID | 7618341496 |
|---|---|
| Medicare Enrollment ID | O20230317000399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841901022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jane E Scruton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760454169 PECOS PAC ID: 5890851174 Enrollment ID: I20090312000065 |
| Provider Name | Paulette M Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851363261 PECOS PAC ID: 8123175007 Enrollment ID: I20090410000028 |
| Provider Name | Deborah Dillard-stark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336110758 PECOS PAC ID: 0143377986 Enrollment ID: I20090413000344 |
| Provider Name | Nicole Marie Stark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528320181 PECOS PAC ID: 3173846011 Enrollment ID: I20141229000187 |
| Provider Name | Marlyssa Rae Fillmore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831741461 PECOS PAC ID: 0840615951 Enrollment ID: I20200806002523 |
| Provider Name | Alisha Nicole Dowell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023670759 PECOS PAC ID: 9537531033 Enrollment ID: I20230209002027 |
| Provider Name | Erica Thrash |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861277816 PECOS PAC ID: 7113375270 Enrollment ID: I20231129003595 |
| Provider Name | Erin Taylor Reynolds |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003517368 PECOS PAC ID: 2163873266 Enrollment ID: I20240112000703 |
| Provider Name | Tonia Lynn Richards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396065629 PECOS PAC ID: 4385096312 Enrollment ID: I20240116001246 |
| Provider Name | Alecia D Hudson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235739426 PECOS PAC ID: 5597118786 Enrollment ID: I20240124000829 |
| Provider Name | Nicole Maria Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447953450 PECOS PAC ID: 4183063548 Enrollment ID: I20240417003545 |
| Provider Name | Miranda K Linville |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619447307 PECOS PAC ID: 0244672145 Enrollment ID: I20240523001707 |
| Provider Name | Patricia Catherine Mcneil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457799546 PECOS PAC ID: 6406394741 Enrollment ID: I20240816003065 |
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