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NPI Code Detail

MEDICARE: SIERRA NICOLE DREES LCSW

MEDICARE: SIERRA NICOLE DREES 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 Worker34008767AIN

General Provider Information

NPI Number : 1184257909
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIERRA NICOLE DREES LCSW
Provider Business Mailing Address
First Line : 4518 CAROLINE AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46205-2230
Country : US
Telephone Number : 330-241-3835
Fax Number :
Provider Business Practice Location Address
First Line : 5610 CRAWFORDSVILLE RD STE 2201
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46224-3784
Country : US
Telephone Number : 317-880-2378
Fax Number : 317-880-0396
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2020
Last Update Date : 02/20/2020

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Directions to “ SIERRA NICOLE DREES LCSW” Practice Location

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