Individual
KATIE CAROL BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1400 N RITTER AVE, STE 230, INDIANAPOLIS, IN 46219-3052
(317) 355-7744
(317) 355-8750
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34000711A
IN
1041C0700X
Clinical Social Worker
Primary
34006797A
IN
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000856452
ANTHEM BCBS
IN
05
—
200812500
—
IN
Enumeration date
09/11/2007
Last updated
05/14/2025
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