Provider Demographics
NPI:1447402250
Name:HANRAHAN, MARGIE (LCSW, LMFT, CEAP)
Entity Type:Individual
Prefix:
First Name:MARGIE
Middle Name:
Last Name:HANRAHAN
Suffix:
Gender:F
Credentials:LCSW, LMFT, CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5460 ELKHORN DR
Mailing Address - Street 2:#923
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-5288
Mailing Address - Country:US
Mailing Address - Phone:317-293-9167
Mailing Address - Fax:
Practice Address - Street 1:5460 ELKHORN DR
Practice Address - Street 2:#923
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-5288
Practice Address - Country:US
Practice Address - Phone:317-293-9167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-13
Last Update Date:2008-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34002909A1041C0700X
IN35001208A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist