Carl, Sharon
Carl, Sharon is an individual health care provider with primary practice located at 3401 E Raymond St , Indianapolis IN 46203-4744. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Carl, Sharon can be contacted via phone (317) 957-2100.Contact Information
Primary practice address
3401 E Raymond St
Indianapolis IN 46203-4744
Phone: (317) 957-2100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34000039A | Indiana |
Profile Details
| NPI number | 1598760654 |
|---|---|
| LBN Legal business name | Carl, Sharon |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Apr 25th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598760654 | NPPES |
| Indiana | MEDICAID | 300045708 | |
| Indiana | Other | 000000352021 |
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