Healthcare Provider Details

I. General information

NPI: 1457215410
Provider Name (Legal Business Name): ALYSSA CASSANDRA ZARING LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3721 ROME DR STE B
LAFAYETTE IN
47905-4408
US

IV. Provider business mailing address

3721 ROME DR STE B
LAFAYETTE IN
47905-4408
US

V. Phone/Fax

Practice location:
  • Phone: 317-210-3737
  • Fax:
Mailing address:
  • Phone: 317-210-3737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: