Individual
JANE BASKETT CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6950 HILLSDALE COURT, INDIANAPOLIS, IN 46250
(317) 621-7740
(317) 621-7608
Mailing address
11300 KNIGHTSBRIDGE LN, FISHERS, IN 46037-9151
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000201A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000701008
ANTHEM
IN
05
—
100270530
—
IN
01
—
7615206
AETNA
IN
Enumeration date
02/15/2006
Last updated
02/25/2019
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