Healthcare Provider Details

I. General information

NPI: 1942012331
Provider Name (Legal Business Name): KAREN LYNNE USSERY MSW, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2025
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5638 PROFESSIONAL CIR
INDIANAPOLIS IN
46241-5042
US

IV. Provider business mailing address

1628 HANDBALL LN APT A
INDIANAPOLIS IN
46260-6025
US

V. Phone/Fax

Practice location:
  • Phone: 888-714-1927
  • Fax:
Mailing address:
  • Phone: 317-830-1181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number33011678A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: