MEDICARE: ANDREW JAMES SALUPO

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	34009884A	IN

General Provider Information

NPI Number	:	1740901784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW JAMES SALUPO

Provider Business Mailing Address
First Line	:	6181 N PARKER AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-2931
Country	:	US
Telephone Number	:	317-654-0303
Fax Number	:

Provider Business Practice Location Address
First Line	:	5150 E 126TH ST
Second Line	:
City	:	CARMEL
State	:	IN
Zip	:	46033-9746
Country	:	US
Telephone Number	:	317-338-4951
Fax Number	:

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

Provider Enumeration Date	:	09/08/2022
Last Update Date	:	02/04/2026

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Directions to “ ANDREW JAMES SALUPO ” Practice Location

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