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General NPI Number Information
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NPI Number | 1093739955
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Entity Type | Individual
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Provider Name | LINDA LOU GERALDINE AMES LCSW, NCAC II, ACSW
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 819 E 64TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-1671
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Country | US
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Telephone | 317-465-9833
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Fax |
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Provider Business Mailing Address
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Address Line | 819 E 64TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-1671
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Country | US
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Telephone | 317-465-9833
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 010399 CERTIFICATION
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 39000535A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34003706A
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License Number State | IN
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