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NPI Code Detail

MEDICARE: PAUL F. LUDES BRAEGER LCSW

MEDICARE: PAUL F. LUDES BRAEGER 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 Worker34004125AIN

General Provider Information

NPI Number : 1205835121
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL F. LUDES BRAEGER LCSW
Provider Business Mailing Address
First Line : 9615 E 148TH ST STE 1
Second Line :
City : NOBLESVILLE
State : IN
Zip : 46060-4371
Country : US
Telephone Number : 317-574-1254
Fax Number : 317-674-0060
Provider Business Practice Location Address
First Line : 697 PRO MED LN
Second Line :
City : CARMEL
State : IN
Zip : 46032-5323
Country : US
Telephone Number : 317-574-1254
Fax Number : 317-674-0060
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 03/12/2026

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