Aaron Detwiler Counseling PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34006654A Issued in IN

Legal business name

AARON DETWILER COUNSELING PC

Practice address

1930 W Lincoln Ave
Goshen, IN 46526-5907

Phone

(574) 534-2161

Fax

(574) 534-3887

NPI assigned

Feb 22, 2013

Last updated

Feb 22, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Aaron Blaine Detwiler, MSW, LCSWNPI 1437498193

Title

Owner

Phone

(574) 534-2161

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aaron Blaine Detwiler, MSW, LCSW

  • Clinical Social Worker
  • Goshen, IN
  • NPI 1437498193
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1972843340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 W LINCOLN AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465265907",
            "telephone_number": "574-534-2161",
            "fax_number": "574-534-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 W LINCOLN AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465265907",
            "telephone_number": "574-534-2161",
            "fax_number": "574-534-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AARON DETWILER COUNSELING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "DETWILER",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "BLAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-534-2161",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006654A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Macie Adams
• Addiction Recovery Centers of Indiana, Incorporated
• Adec - Goshen Men

• Clinical Social Worker in Goshen, IN
• Providers in Goshen, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.