Individual
BELINDA SHELTON GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9650 E WASHINGTON ST STE 245, INDIANAPOLIS, IN 46229-3032
(317) 890-5552
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006369A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001435614
ANTHEM PTAN
IN
01
—
000001436646
ANTHEM PTAN
IN
05
—
300046176
—
IN
Enumeration date
10/01/2020
Last updated
11/05/2024
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