Organization
WILLOWGLEN ACADEMY-IN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE ANDERSON LCSW, LCAC (CLINICAL MANAGER)
(219) 886-1320
Entity
Organization
Contact information
Practice address
4955 BROADWAY, GARY, IN 46409-2706
(219) 886-1320
Mailing address
308 E 21ST AVE, GARY, IN 46407-2618
(219) 886-1320
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34002639A
IN
1041C0700X
Clinical Social Worker
344004861A
IN
163W00000X
Registered Nurse
28072804A
IN
2084P0800X
Psychiatry Physician
Primary
0103158A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200185860
—
IN
Enumeration date
11/20/2013
Last updated
11/20/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us