Healthcare Provider Details

I. General information

NPI: 1003169913
Provider Name (Legal Business Name): MICHAEL J SCHRETTENBRUNNER MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2012
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 SPRING ST STE B
JEFFERSONVILLE IN
47130-2930
US

IV. Provider business mailing address

2344 N NEW JERSEY ST
INDIANAPOLIS IN
46205-4338
US

V. Phone/Fax

Practice location:
  • Phone: 812-284-2272
  • Fax:
Mailing address:
  • Phone: 317-529-0101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34006588A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: