Provider Demographics
NPI:1801175831
Name:ENGLE, CHRIS BLAIR (MSSW)
Entity type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:BLAIR
Last Name:ENGLE
Suffix:
Gender:M
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7251 W STATE ROAD 46
Mailing Address - Street 2:
Mailing Address - City:ELLETTSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47429-1029
Mailing Address - Country:US
Mailing Address - Phone:812-876-3540
Mailing Address - Fax:812-855-8447
Practice Address - Street 1:7251 W STATE ROAD 46
Practice Address - Street 2:
Practice Address - City:ELLETTSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47429-1029
Practice Address - Country:US
Practice Address - Phone:812-508-8497
Practice Address - Fax:812-329-5558
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34002015A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN34002015AOtherINDIANA STATE LICENSE