Provider Demographics
NPI:1881185767
Name:WANNEMUEHLER, CHLOE B (LCSW)
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:B
Last Name:WANNEMUEHLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CHLOE
Other - Middle Name:B
Other - Last Name:RENSCHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3276
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47731-3276
Mailing Address - Country:US
Mailing Address - Phone:812-473-0181
Mailing Address - Fax:
Practice Address - Street 1:116 S MAIN ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:IN
Practice Address - Zip Code:47670-2106
Practice Address - Country:US
Practice Address - Phone:812-635-0138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical