MEDICARE: BETH EILER 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	34005175A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366815326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETH EILER LCSW

Provider Business Mailing Address
First Line	:	7008 W 71ST ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46278-1610
Country	:	US
Telephone Number	:	317-697-5292
Fax Number	:

Provider Business Practice Location Address
First Line	:	3403 E RAYMOND ST STE A
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46203-4783
Country	:	US
Telephone Number	:	317-957-2070
Fax Number	:

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

Provider Enumeration Date	:	11/12/2015
Last Update Date	:	03/04/2025

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Directions to “ BETH EILER LCSW” Practice Location

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