Individual
ELICIA GREENSPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5470 E 16TH ST, INDIANAPOLIS, IN 46218-4861
(317) 355-5009
(317) 351-7804
Mailing address
6626 E 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7561
(317) 355-6096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006481A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000814807
ANTHEM BCBS
IN
Enumeration date
04/03/2013
Last updated
03/11/2014
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