Provider Demographics
NPI:1679351613
Name:DRINKARD, INDYA NICCOLE (LCSW)
Entity Type:Individual
Prefix:
First Name:INDYA
Middle Name:NICCOLE
Last Name:DRINKARD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7855 HENRY MORGAN RD
Mailing Address - Street 2:
Mailing Address - City:EIGHT MILE
Mailing Address - State:AL
Mailing Address - Zip Code:36613-8765
Mailing Address - Country:US
Mailing Address - Phone:251-404-2506
Mailing Address - Fax:
Practice Address - Street 1:7855 HENRY MORGAN RD
Practice Address - Street 2:
Practice Address - City:EIGHT MILE
Practice Address - State:AL
Practice Address - Zip Code:36613-8765
Practice Address - Country:US
Practice Address - Phone:251-404-2506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5413C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical