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NPI Code Detail

MEDICARE: MERCEDES CAREY

MEDICARE: MERCEDES CAREY
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 Worker

General Provider Information

NPI Number : 1306590658
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERCEDES CAREY
Provider Business Mailing Address
First Line : 5713 ANDERS LN
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46235-1069
Country : US
Telephone Number : 317-874-6090
Fax Number :
Provider Business Practice Location Address
First Line : 429 E VERMONT ST STE 7
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-3688
Country : US
Telephone Number : 317-874-6090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2022
Last Update Date : 02/07/2022

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Directions to “ MERCEDES CAREY ” Practice Location

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