Provider Demographics
NPI:1134107394
Name:BEMENT, JOANNA (LCSW)
Entity type:Individual
Prefix:MS
First Name:JOANNA
Middle Name:
Last Name:BEMENT
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 1:9240 N MERIDIAN ST STE 320
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-1822
Mailing Address - Country:US
Mailing Address - Phone:317-730-1662
Mailing Address - Fax:317-581-1007
Practice Address - Street 1:9240 N MERIDIAN ST STE 320
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1822
Practice Address - Country:US
Practice Address - Phone:317-730-1662
Practice Address - Fax:317-581-1007
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-06
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN50081041C0700X
IN34003323A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000345393OtherANTHEM BCBS
IN233433000OtherMAGELLAN
IN2004103OtherCIGNA
IN000000205818OtherANTHEM BCBS
IN233433000OtherMAGELLAN
IN000000205818OtherANTHEM BCBS