Individual
ETHAN CHITTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6655 E US HIGHWAY 36, AVON, IN 46123-8923
(888) 714-1927
Mailing address
3776 CARDIFF CT, INDIANAPOLIS, IN 46234-3306
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
99110325A
IN
1041C0700X
Clinical Social Worker
Primary
34012001A
IN
Other
Enumeration date
07/13/2022
Last updated
08/28/2025
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