Provider Demographics
NPI:1942628433
Name:ANDERSON, INDIA SAVAGE (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:INDIA
Middle Name:SAVAGE
Last Name:ANDERSON
Suffix:
Gender:F
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 1:10653 KINGS MILL DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-9457
Mailing Address - Country:US
Mailing Address - Phone:317-431-3748
Mailing Address - Fax:317-733-3098
Practice Address - Street 1:3675 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-3533
Practice Address - Country:US
Practice Address - Phone:317-908-6063
Practice Address - Fax:317-896-0360
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-01
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34006916A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical