Individual
DOUGLAS KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2780
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2780
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33012367A
IN
1041C0700X
Clinical Social Worker
Primary
149.031096
IL
Other
Enumeration date
01/30/2025
Last updated
02/04/2026
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