Ramona Viola Lichtenbarger, LCSW

Individual provider Active NPI Clinical Social Worker · Culver, IN

NPI 1003345851 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1003345851
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
34005571A (IN)
Practice address
12263 Choctaw TRL
Culver, IN 46511-9675
Phone
(574) 242-9830
NPI assigned
Jun 6, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
34005571AINMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34005571A IN Yes

Addresses

Primary practice location

12263 Choctaw TRL
Culver, IN 46511-9675

Mailing address

12263 Choctaw TRL
Culver, IN 46511-9675
Phone (574) 242-9830

Other providers in Culver, IN

All providers in Culver, IN · Clinical Social Worker in Indiana

Sources for this page

Verify at the official NPI Registry.