Provider Demographics
NPI:1356153993
Name:SLIVKA, IRENE (LMSW)
Entity type:Individual
Prefix:
First Name:IRENE
Middle Name:
Last Name:SLIVKA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12515 PEWTER PL
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-1215
Mailing Address - Country:US
Mailing Address - Phone:317-372-2993
Mailing Address - Fax:
Practice Address - Street 1:7230 ARBUCKLE CMNS STE 126
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-1793
Practice Address - Country:US
Practice Address - Phone:812-805-0461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33012564A104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker