Healthcare Provider Details

I. General information

NPI: 1336743863
Provider Name (Legal Business Name): INSIGHT WORKS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2020
Last Update Date: 11/25/2020
Certification Date: 11/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E MAIN ST
BLOOMFIELD IN
47424-2401
US

IV. Provider business mailing address

200 E MAIN ST
BLOOMFIELD IN
47424-2401
US

V. Phone/Fax

Practice location:
  • Phone: 812-699-7205
  • Fax:
Mailing address:
  • Phone: 812-699-7205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ELIZABETH HILDERBRAND
Title or Position: TIN OWNER
Credential: LCSW
Phone: 812-699-7205