| Ruth Rader Lcsw Llc | |
|
8935 N Meridian St Suite 107 Indianapolis IN 46260-5379 | |
| (317) 571-0171 | |
| (317) 571-2005 |
| Full Name | Ruth Rader Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8935 N Meridian St, Indianapolis, Indiana |
| Authorized Official Name and Position | Ruth Rader (OWNER) |
| Authorized Official Contact | 3175710171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruth Rader Lcsw Llc 9425 N Meridian St #280 Indianapolis IN 46260-1308 Ph: (317) 571-0171 | Ruth Rader Lcsw Llc 8935 N Meridian St Suite 107 Indianapolis IN 46260-5379 Ph: (317) 571-0171 |
| NPI Number | 1407183841 |
|---|---|
| Provider Enumeration Date | 11/05/2009 |
| Last Update Date | 11/05/2009 |
| Medicare PECOS PAC ID | 1456499284 |
|---|---|
| Medicare Enrollment ID | O20091116000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407183841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34004455A (Indiana) | Primary |
| Provider Name | Ruth A Rader |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508927583 PECOS PAC ID: 4385781244 Enrollment ID: I20091026000319 |
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