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General NPI Number Information
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NPI Number | 1023505682
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Entity Type | Organization
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Legal Business Name | HEATHER SUTTON LCSW LLC
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Dates
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Enumeration Date | 04/19/2018
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 3650 E 46TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46205-1610
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Country | US
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Telephone | 317-455-5375
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Fax | 844-716-2705
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Provider Business Mailing Address
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Address Line | 11630 EDEN ESTATES DR
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City | CARMEL
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State | IN
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Zip | 46033-3247
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Country | US
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Telephone | 317-455-5375
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Fax | 844-716-2705
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | HEATHER SUTTON
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Credential | LCSW
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Telephone | 317-455-5375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34001280A
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License Number State | IN
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