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NPI Code Detail

MEDICARE: ANDREW BARKER LCSW

MEDICARE:   ANDREW  BARKER  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker34009002AIN

General Provider Information

NPI Number : 1114625191
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW BARKER LCSW
Provider Business Mailing Address
First Line : 3838 N RURAL ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46205-2930
Country : US
Telephone Number : 317-221-8954
Fax Number :
Provider Business Practice Location Address
First Line : 2868 N PENNSYLVANIA ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46205-4125
Country : US
Telephone Number : 317-221-8954
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2023
Last Update Date : 02/20/2023

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Directions to “ ANDREW BARKER LCSW” Practice Location

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