Susan H. Bravard, L.C.S.W.

Individual provider Active NPI Clinical Social Worker · Zionsville, IN

NPI 1851785935 · NPPES record last updated Mar 26, 2015

Key facts

NPI
1851785935
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
34000558A (IN)
Practice address
1650 W Oak St
Suite 200
Zionsville, IN 46077-1962
Phone
(317) 912-1399
NPI assigned
Mar 26, 2015
Sex
Female
Sole proprietor
No

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
34000558AINMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34000558A IN Yes
Health Educator 174H00000X

Addresses

Primary practice location

1650 W Oak St
Suite 200
Zionsville, IN 46077-1962

Mailing address

7822 Wedgetail Dr
Zionsville, IN 46077-4421
Phone (317) 440-2704

Other providers in Zionsville, IN

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

Sources for this page

Verify at the official NPI Registry.