MEDICARE: REHABILITATION OPTIONS OF INDIANA

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	106H00000X	Marriage & Family Therapist	35000499A	IN
2	1041C0700X	Clinical Social Worker	34000962A	IN

General Provider Information

NPI Number	:	1871618082
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHABILITATION OPTIONS OF INDIANA

Provider Business Mailing Address
First Line	:	360 S MADISON AVE
Second Line	:	SUITE 205
City	:	GREENWOOD
State	:	IN
Zip	:	46142-3150
Country	:	US
Telephone Number	:	317-887-1213
Fax Number	:	317-887-1312

Provider Business Practice Location Address
First Line	:	360 S MADISON AVE
Second Line	:	205
City	:	GREENWOOD
State	:	IN
Zip	:	46142-3150
Country	:	US
Telephone Number	:	317-887-1213
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL SOCIAL WORKER
Name	:	JULIA MOREY
Credential	:	MSW, LCSW
Telephone Number	:	317-887-1213

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	08/06/2009

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