Provider Demographics
NPI:1508253543
Name:RENTSCHLER-MILLER, LACEY J (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:LACEY
Middle Name:J
Last Name:RENTSCHLER-MILLER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:LACEY
Other - Middle Name:J
Other - Last Name:RENTSCHLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1700 W SMITH VALLEY RD STE B4
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-1589
Mailing Address - Country:US
Mailing Address - Phone:317-886-1000
Mailing Address - Fax:317-886-1001
Practice Address - Street 1:1700 W SMITH VALLEY RD STE B4
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-1589
Practice Address - Country:US
Practice Address - Phone:317-886-1000
Practice Address - Fax:317-886-1001
Is Sole Proprietor?:No
Enumeration Date:2015-04-16
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34006187A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical