MEDICARE: JOEL ALES LSW, LCACA

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	99135174A	IN
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	99135175A	IN

General Provider Information

NPI Number	:	1467261578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEL ALES LSW, LCACA

Provider Business Mailing Address
First Line	:	210 W MORGAN ST
Second Line	:
City	:	MARTINSVILLE
State	:	IN
Zip	:	46151-1481
Country	:	US
Telephone Number	:	765-343-8030
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 W MORGAN ST
Second Line	:
City	:	MARTINSVILLE
State	:	IN
Zip	:	46151-1481
Country	:	US
Telephone Number	:	765-343-8030
Fax Number	:

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

Provider Enumeration Date	:	01/03/2025
Last Update Date	:	03/04/2026

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