Provider Demographics
NPI:1265683395
Name:PERKINS, CARLA SHARON (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:SHARON
Last Name:PERKINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6401 ZIONSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-2459
Mailing Address - Country:US
Mailing Address - Phone:301-455-7750
Mailing Address - Fax:855-933-2297
Practice Address - Street 1:6401 ZIONSVILLE RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-2459
Practice Address - Country:US
Practice Address - Phone:317-643-4997
Practice Address - Fax:855-933-2297
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD136591041C0700X
DCLC500780591041C0700X
IN34008357A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical