Provider Demographics
NPI:1750674347
Name:VIEHE, NIKI DIANE (MSW, LSW)
Entity type:Individual
Prefix:
First Name:NIKI
Middle Name:DIANE
Last Name:VIEHE
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-4800
Mailing Address - Country:US
Mailing Address - Phone:317-630-8704
Mailing Address - Fax:317-656-4035
Practice Address - Street 1:1111 W 10TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-4800
Practice Address - Country:US
Practice Address - Phone:317-630-8704
Practice Address - Fax:317-656-4035
Is Sole Proprietor?:No
Enumeration Date:2011-05-16
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33005878A171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator