Provider Demographics
NPI:1649658550
Name:GINDL, SAMANTHA (MSW)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:GINDL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9501 E 36TH PL
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46235-2101
Mailing Address - Country:US
Mailing Address - Phone:317-226-4102
Mailing Address - Fax:
Practice Address - Street 1:9501 E 36TH PL
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46235-2101
Practice Address - Country:US
Practice Address - Phone:317-226-4102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-12
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker