Healthcare Provider Details

I. General information

NPI: 1700674785
Provider Name (Legal Business Name): MICHELLE ANN ZAREMBA MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2025
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 SOUTH ST
LAFAYETTE IN
47901-1416
US

IV. Provider business mailing address

9007 E 200 S
LAFAYETTE IN
47905-9455
US

V. Phone/Fax

Practice location:
  • Phone: 765-742-1800
  • Fax:
Mailing address:
  • Phone: 765-421-3333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34013017A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: