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NPI Code Detail

MEDICARE: KAYLEE DIXIE ANN BENGE LCSW

MEDICARE:   KAYLEE DIXIE ANN BENGE  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 Worker34012660AIN

General Provider Information

NPI Number : 1467305375
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLEE DIXIE ANN BENGE LCSW
Provider Business Mailing Address
First Line : 7424 BLUEBIRD CT
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254-3276
Country : US
Telephone Number : 317-600-7857
Fax Number :
Provider Business Practice Location Address
First Line : 7424 BLUEBIRD CT
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254-3276
Country : US
Telephone Number : 317-600-7857
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2026
Last Update Date : 02/19/2026

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Directions to “ KAYLEE DIXIE ANN BENGE LCSW” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.