Healthcare Provider Details

I. General information

NPI: 1508235805
Provider Name (Legal Business Name): MEREDITH BROOKE DUERIGEN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2015
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3852 S CEDAR CREEK LN
NEW PALESTINE IN
46163-8724
US

IV. Provider business mailing address

3852 S CEDAR CREEK LN
NEW PALESTINE IN
46163-8724
US

V. Phone/Fax

Practice location:
  • Phone: 317-371-6904
  • Fax:
Mailing address:
  • Phone: 317-371-6904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34007282A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: