Michael Doyle, LCSW

Individual provider Active NPI Clinical Social Worker · Batesville, IN

NPI 1780735530 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1780735530
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
34001542A (IN)
Practice address
16 N Park Ave
Batesville, IN 47006-1249
Phone
(812) 934-3245
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Laboratories of Indianapolis, PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34001542A IN Yes

Addresses

Primary practice location

16 N Park Ave
Batesville, IN 47006-1249

Mailing address

285 Bielby Rd
Lawrenceburg, IN 47025-1055
Phone (812) 537-1302

Other identifiers

IdentifierTypeStateIssuer
000000200293OtherINBLUE SHIELD

Other providers in Batesville, IN

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

Sources for this page

Verify at the official NPI Registry.