Healthcare Provider Details

I. General information

NPI: 1588512982
Provider Name (Legal Business Name): AIDEN GARVIN ARNOLD LSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3103 BLACKISTON MILL RD
NEW ALBANY IN
47150-9536
US

IV. Provider business mailing address

3103 BLACKISTON MILL RD
NEW ALBANY IN
47150-9536
US

V. Phone/Fax

Practice location:
  • Phone: 812-590-7160
  • Fax:
Mailing address:
  • Phone: 812-590-7160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number33012529A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: