MEDICARE: MS. INDIA SAVAGE ANDERSON MSW, 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	34006916A	IN

General Provider Information

NPI Number	:	1942628433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. INDIA SAVAGE ANDERSON MSW, LCSW

Provider Business Mailing Address
First Line	:	10653 KINGS MILL DR
Second Line	:	SUITE 101
City	:	CARMEL
State	:	IN
Zip	:	46032-9457
Country	:	US
Telephone Number	:	317-431-3748
Fax Number	:	317-733-3098

Provider Business Practice Location Address
First Line	:	3675 WASHINGTON BLVD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46205-3533
Country	:	US
Telephone Number	:	317-908-6063
Fax Number	:	317-896-0360

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

Provider Enumeration Date	:	04/01/2014
Last Update Date	:	04/01/2014

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