OrganizationActive
Adult and Child Mental Health
NPI 1083949200 · Clinical Social Worker · Indianapolis, IN
Provider details
- NPI number
- 1083949200
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Amanda Carter, Vp Managed Care(417) 761-5126
- License
- 34005456A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
8320 Madison Avenue
Indianapolis, IN 46227-6066
Phone: (317) 881-5122
Fax: (317) 888-8642
Approximate (ZIP-level) locationGet directions
Mailing address
8320 Madison Ave
Indianapolis, IN 46227-6090
Registry dates
- Enumerated
- 2009-10-06
- Last updated
- 2025-01-09
- Certified
- 2025-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.