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NPI Code Detail

MEDICARE: CATHERINE JENNE HANLON WISCHNOWSKI LCSW

MEDICARE: CATHERINE JENNE HANLON WISCHNOWSKI LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker34001841AIN

General Provider Information

NPI Number : 1083974406
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE JENNE HANLON WISCHNOWSKI LCSW
Provider Business Mailing Address
First Line : 6626 E 75TH ST STE 500
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-2890
Country : US
Telephone Number : 317-621-7561
Fax Number : 317-355-6096
Provider Business Practice Location Address
First Line : 8401 HARCOURT RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2036
Country : US
Telephone Number : 317-338-4600
Fax Number : 317-338-4890
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2012
Last Update Date : 05/27/2026

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