MEDICARE: MS. LINDA LOU GERALDINE AMES LCSW, NCAC II, ACSW

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	010399 CERTIFICATION	IN
2	101YM0800X	Mental Health Counselor	39000535A	IN
3	1041C0700X	Clinical Social Worker	34003706A	IN

General Provider Information

NPI Number	:	1093739955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA LOU GERALDINE AMES LCSW, NCAC II, ACSW

Provider Business Mailing Address
First Line	:	819 E 64TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-1671
Country	:	US
Telephone Number	:	317-465-9833
Fax Number	:

Provider Business Practice Location Address
First Line	:	819 E 64TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-1671
Country	:	US
Telephone Number	:	317-465-9833
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	09/11/2025

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