Individual
DR. DAVID A CHADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LMFT, D.MIN
Contact information
Practice address
9465 COUNSELORS ROW STE 200, INDIANAPOLIS, IN 46240-3817
(175) 593-4563
Mailing address
9465 COUNSELORS ROW STE 200, INDIANAPOLIS, IN 46240-3817
(317) 559-3456
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002888A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000277413
ANTHEM BCBS
IN
Enumeration date
11/06/2006
Last updated
06/17/2024
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