MEDICARE: COURTNIE AUXIER LSW

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1972352953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNIE AUXIER LSW

Provider Business Mailing Address
First Line	:	4016 S MERIDIAN ST STE B
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46217-3310
Country	:	US
Telephone Number	:	317-721-1719
Fax Number	:

Provider Business Practice Location Address
First Line	:	4016 S MERIDIAN ST STE B
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46217-3310
Country	:	US
Telephone Number	:	317-721-1719
Fax Number	:

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

Provider Enumeration Date	:	05/14/2024
Last Update Date	:	05/14/2024

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Directions to “ COURTNIE AUXIER LSW” Practice Location

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