Individual
MRS. DALLAS JOANN ENGLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
950 N MERIDIAN ST, INDIANAPOLIS, IN 46204-1077
(317) 963-2200
(317) 963-1621
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33009791A
IN
1041C0700X
Clinical Social Worker
Primary
34010172A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264431077
MEDICARE PTAN
IN
05
—
300074148
—
IN
Enumeration date
10/05/2020
Last updated
05/15/2023
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