Individual
MISS CAITLIN MELISSA CICHOLSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11725 N ILLINOIS ST STE 350, CARMEL, IN 46032-3009
(317) 688-5073
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008449A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34008449A
LCSW
IN
Enumeration date
05/02/2019
Last updated
10/19/2021
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