| Heather Sutton Lcsw Llc | |
|
3650 E 46th St Indianapolis IN 46205-1610 | |
| (317) 455-5375 | |
| (844) 716-2705 |
| Full Name | Heather Sutton Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3650 E 46th St, Indianapolis, Indiana |
| Authorized Official Name and Position | Heather Sutton (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3174555375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Sutton Lcsw Llc 11630 Eden Estates Dr Carmel IN 46033-3247 Ph: (317) 455-5375 | Heather Sutton Lcsw Llc 3650 E 46th St Indianapolis IN 46205-1610 Ph: (317) 455-5375 |
| NPI Number | 1023505682 |
|---|---|
| Provider Enumeration Date | 04/19/2018 |
| Last Update Date | 02/14/2024 |
| Certification Date | 02/14/2024 |
| Medicare PECOS PAC ID | 8022372705 |
|---|---|
| Medicare Enrollment ID | O20180504000486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023505682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34001280A (Indiana) | Primary |
| Provider Name | Heather Lee Sutton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891910634 PECOS PAC ID: 0143382515 Enrollment ID: I20081218000286 |
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