Patrick E Brearton, LCSW
Individual provider Active NPI Clinical Social Worker · Indianapolis, IN
NPI 1801066352 · NPPES record last updated Jul 30, 2014
Key facts
- NPI
- 1801066352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 34000590A (IN)
- Practice address
- 705 Riley Hospital Dr
Indianapolis, IN 46202-5109 - Phone
- (317) 944-8162
- NPI assigned
- Mar 11, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34000590A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Psychiatric Associates, Inc. | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34000590A | IN | Yes |
Addresses
Primary practice location
705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Mailing address
250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219-4959
Other providers in Indianapolis, IN
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- T'Maryae Brazelton
- Breaking Every Chain Counseling LLC
- Jeffrey A Breall
- Khadijah K Breathett
- Breathing Space, Inc
- Patricia Breaziel
- Jennifer Brechbuhl
- Brittany J Brechtl
All providers in Indianapolis, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.