Provider Demographics
NPI:1457320863
Name:RANSBURG, CRAIG MITCHELL (MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:MITCHELL
Last Name:RANSBURG
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 WINTER CT
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-5213
Mailing Address - Country:US
Mailing Address - Phone:317-566-8423
Mailing Address - Fax:
Practice Address - Street 1:8404 SIEAR TER
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-7201
Practice Address - Country:US
Practice Address - Phone:317-887-7033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34004047A101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)