Provider Demographics
NPI:1891214706
Name:HENDERSON, CARLIN SZALAY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CARLIN
Middle Name:SZALAY
Last Name:HENDERSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:CAITLIN
Other - Middle Name:EILEEN SZALAY
Other - Last Name:CARLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:4401 E 10TH ST STE 18
Mailing Address - Street 2:11263
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46201-2754
Mailing Address - Country:US
Mailing Address - Phone:678-773-4734
Mailing Address - Fax:
Practice Address - Street 1:720 ESKENAZI AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5187
Practice Address - Country:US
Practice Address - Phone:678-773-4734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-12
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical