Healthcare Provider Details

I. General information

NPI: 1164343448
Provider Name (Legal Business Name): TROY BRIDGES LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8333 NAAB RD STE 300
INDIANAPOLIS IN
46260-1983
US

IV. Provider business mailing address

8333 NAAB RD STE 300
INDIANAPOLIS IN
46260-1983
US

V. Phone/Fax

Practice location:
  • Phone: 317-338-6499
  • Fax: 317-338-9081
Mailing address:
  • Phone: 317-338-6499
  • Fax: 317-338-9081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number34012996A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: