MEDICARE: WHITNEY F CLOIN 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	34008424A	IN

General Provider Information

NPI Number	:	1306445622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY F CLOIN LCSW

Provider Business Mailing Address
First Line	:	1103 N LINWOOD AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46201-2718
Country	:	US
Telephone Number	:	812-266-0824
Fax Number	:

Provider Business Practice Location Address
First Line	:	1103 N LINWOOD AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46201-2718
Country	:	US
Telephone Number	:	812-266-0824
Fax Number	:

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

Provider Enumeration Date	:	10/19/2020
Last Update Date	:	10/11/2021

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Directions to “ WHITNEY F CLOIN LCSW” Practice Location

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