Susan Addington
Social Worker, Clinical in Indianapolis, IN. Individual provider (NPI-1).
NPI number1508455122
StatusActive
Last updated in NPPESJan 18, 2021
Details
- NPI
- 1508455122
- Entity type
- Individual (NPI-1)
- Name
- Susan Addington
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 18, 2021
- Certification date
- Jan 18, 2021
- Last updated
- Jan 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 34003586A | IN | Yes |
Practice location
7979 N Shadeland Ave Ste 300Indianapolis, IN 46250-2042
Phone 317-621-4418 · Fax 317-355-7479
Mailing address
6626 E 75th St Ste 500Indianapolis, IN 46250-2890
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