MEDICARE: CHRISTINE A TURO-SHIELDS 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
1	1041C0700X	Clinical Social Worker	34003289	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	800008053	OTHER	IN	RR MEDICARE

General Provider Information

NPI Number	:	1578505269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE A TURO-SHIELDS LCSW

Provider Business Mailing Address
First Line	:	250 N SHADELAND AVE
Second Line	:	STE 130 PROVIDER ENROLLMENT
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4959
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8820 S MERIDIAN ST
Second Line	:	STE 225
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46217-6064
Country	:	US
Telephone Number	:	317-865-6922
Fax Number	:	317-865-6930

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	02/26/2014

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Directions to “ CHRISTINE A TURO-SHIELDS LCSW” Practice Location

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