Healthcare Provider Details

I. General information

NPI: 1326169269
Provider Name (Legal Business Name): JULIE ANN TIMKE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5660 CAITO DR STE 126
INDIANAPOLIS IN
46226-1368
US

IV. Provider business mailing address

8206 NARRAGANSETT CT
INDIANAPOLIS IN
46256-9789
US

V. Phone/Fax

Practice location:
  • Phone: 317-207-6095
  • Fax: 317-377-3103
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34005352A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: