Provider Demographics
NPI:1659161990
Name:GLADIN, CAGNEY RYAN (LCSW)
Entity type:Individual
Prefix:
First Name:CAGNEY
Middle Name:RYAN
Last Name:GLADIN
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2037 LOHR DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46214-3287
Mailing Address - Country:US
Mailing Address - Phone:260-442-1587
Mailing Address - Fax:812-782-2049
Practice Address - Street 1:5325 E 82ND ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-4510
Practice Address - Country:US
Practice Address - Phone:812-994-0902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical