MEDICARE: KAITLIN FAUST 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
1	1041C0700X	Clinical Social Worker	34010630A	IN

General Provider Information

NPI Number	:	1235914755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLIN FAUST LCSW

Provider Business Mailing Address
First Line	:	8140 E COUNTY ROAD 700 N
Second Line	:
City	:	BROWNSBURG
State	:	IN
Zip	:	46112-9069
Country	:	US
Telephone Number	:	317-681-3240
Fax Number	:

Provider Business Practice Location Address
First Line	:	1650 W OAK ST STE 200
Second Line	:
City	:	ZIONSVILLE
State	:	IN
Zip	:	46077-3836
Country	:	US
Telephone Number	:	765-680-0071
Fax Number	:

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

Provider Enumeration Date	:	08/31/2023
Last Update Date	:	08/31/2023

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Directions to “ KAITLIN FAUST LCSW” Practice Location

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