Provider Demographics
NPI:1750770871
Name:BORDEAU, APRIL (LCSW)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:BORDEAU
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 1:1363 NORTHERN VALLEY TRL
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-8838
Mailing Address - Country:US
Mailing Address - Phone:317-431-9979
Mailing Address - Fax:
Practice Address - Street 1:8103 E US HIGHWAY 36
Practice Address - Street 2:#135
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-7964
Practice Address - Country:US
Practice Address - Phone:317-431-9979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-13
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34006751A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical